2016-17 La Verne Student-Athlete Form

Email Secondary Email

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Email address *

First name *

Last name *

Cell Phone Number *

Sport *

Year *

(Fr., So., Jr., Sr.)

Position/Event *

Height *

(ex. 5-11)

Weight

(Males only; ex. 175)

Hometown *

(ex. La Verne, CA)

High School *

Previous College

Major *

Why Did You Choose La Verne? (in two to three sentences) *

Newcomers (freshmen/transfers) only - One to three sentences; upperclassmen write N/A

Club/Travel Team *

Athletic Achievements *

College and high school (ex. 2015 State Champion ... named 2015 First Team All League ... served as team captain)

Academic Achievements *

College and high school (ex. Made Honor Roll in 2014 and 2015 ... maintained 4.0 GPA through high school)

Hometown Newspaper *

Personal Records

(Track/XC/Swim only - list time, event, meet and date; ex. 11.00, 100m, 2016 SCIAC Championship, 5/25/16)

Bats/Throws

Baseball and softball; ex. L/R

Father's Name *

Mother's Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Twitter Handle

ex. @ULVAthletics

Instagram Handle

ex. @ULVAthletics

Hobbies/Extracurricular Activities

Fun Facts About Yourself

* required field