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Prospective Student-Athlete Questionnaire

Interested in playing lacrosse at the University of Utah? Fill out the short form below and let our coaching staff know!

Personal Information

First Name

Last Name

Birth Date

Email Address

Parent Email Address

Address

Home Phone

Cell Phone

Academic Information

High School Name

Grad Year

High School City & State

Cumulative GPA

ACT Score

SAT Score

High School Coaches Information

Coach

Coach Email Address

Coach Phone

Club Team Information

Club Team Name

Coach

Coach Email Address

Coach Phone

Athletic Information

Position/Specialties
AttackMidfieldDefenseGoalieFace Off SpecialistLong Stick Middie

Years Played

Link to Film/Highlights

Other Sports

Sports Honors/Awards

Please tell us who initiated or what prompted your interest in our lacrosse program at Utah

Have you submitted your application to the University of Utah?
YesNo

If yes, have you been accepted?
YesNo

Do you have any questions or comments for our coaching staff?

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