Powerade State Games High School Lacrosse Nomination Form
June 22nd, 2017 @ Guilford College

**There will be a $50 finalist fee for all players who are selected to play in the showcase. All players must have been nominated by their coach to be eligible for selection.

First Name
Your answer
Last Name
Your answer
Date of Birth
xx/xx/xxxx
Your answer
Home Address
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City, State and Zip
Your answer
Contact Phone Number
Your answer
Email Address
(Preferred email address for all correspondence related to PSGNC)
Your answer
Gender
High School Team
Your answer
County
(County where the school is located)
Your answer
Graduation Year
Height
Your answer
Weight
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Position
(Please cirlce only one position)
High School Coach Name
Your answer
High School Coach Email Address
Your answer
Lacrosse Achievements/Accomplishments
(Please list any Lacrosse achievements and/or accomplishments as necessary)
Your answer
Submit
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