Name: 
Address-
Street or P.O. Box :
City & State:
ZIP Code: Birthdate:
Phone: Email:
Parent's Names:

---

High School Students

High School: 
Location of School: 
Current Year in School (Fr., Soph., Jr., Sr.):
Varsity Sports Played (include No. of years for each):
Awards (all-star teams, team awards, all-star games, etc.) 
Grade Point Average: 
SAT Scores: Verbal  Math 
ACT Score: 
Anticipated Major: 

---

Transfer Students

Last School Attended: 
Location of School: 
Last Year of Study Completed (Fr., Soph., Jr., Sr.):
Sports Played (include No. of years for each):
Awards (all-star teams, team awards, all-star games, etc.) 
Grade Point Average:  Major: 
Anticipated Major at Potsdam: 

---

Athletic Information

Years of Lacrosse Experience: 
Positions Played: 
Height:  Weight: 
Statistcs: 
Coach's Name: 
Coach's Phone Number: