Peru Women's Lacrosse New Player Interest Form
VIVA PERU

Please fill out the info below and we will be in touch! Thanks for your interest!
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First Name *
Last Name *
Phone Number *
Nickname *
Your Email *
Address (including city, state, and zipcode) *
Phone number *
Birthday *
MM
/
DD
/
YYYY
Height *
Weight *
Hometown (City, State) *
Highest level of play (include school and level e.g. D1/D2/D3/NAIA/CLUB) *
Where is your family from in Peru? *
What is your Peruvian heritage? (click all that apply) *
Required
Do you hold a Peruvian passport? *
What is your current profession? If you are in high school, list student, graduation date, and if you know where you're going to college. If you are in college, please list your school, graduation date, and major/degree. *
Position (click all that apply) *
Required
Are currently playing lacrosse? If yes, with who? *
What languages do you speak? Check all that apply *
Required
Will you be able to fundraise approximately $500-$1,000 a year in dues? If you are unsure, please click 'other' and explain. *
Would you be available for a Peru Women's Lacrosse training during the year? We practice the last week of July and 3rd week in December *
Required
Please let us know of any "problem areas" and/or medical conditions you have so that our trainer can be best prepared and we can best support you. *
Do you have any "special skills" that you'd be willing to share to support our team (click all that apply)? *serious answers only* *
Required
Do you agree to be included in media publications? **All players will be included in group photos. *
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