Athletics Inquiry Form

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If you are interested in participating in an Intercollegiate Sport at La Roche College, please complete the form below. The information you provide will be sent to the head coach.

PLEASE NOTE: Fields in RED font are REQUIRED.

CONTACT INFORMATION



First Name


Middle Initial


Last Name


Address


Address (continued)


City


State


Postal Code


Telephone


Email



ACADEMIC INFORMATION



Age


Sport


Student Type


Current Student Status


High School


Transfer student? Name of your previous institution

of
Anticipate Enrolling



COMMENTS






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