Sri Lanka 2019 Application
Application for Encore's 2019 Sri Lanka Trip
Email address *
NAME: *
PHONE NUMBER: *
EMAIL: *
AGE: *
Date of Birth *
Graduating Year *
SCHOOL: *
STATE *
HOMETOWN: *
YEARS PLAYED: *
POSITION: *
CLUB TEAM (IF APPLICABLE):
LIST YOUR COACHES NAME & CONTACT INFORMATION: *
YOUTUBE LINK OF HIGHLIGHTS (IF APPLICABLE):
LIST ANY MEDICAL ISSUES: *
DO YOU HAVE MEDICAL ISSUES THAT WOULD PREVENT YOU FROM TRAINING IN HIGH ALTITUDE (<7,000FT) *
DO YOU SPEAK SINHALA OR TAMIL? (NOT REQUIRED) *
HAVE YOU TRAVELED OUTSIDE OF THE UNITED STATES? (NOT REQUIRED) *
ARE YOU PLANNING ON COMING TO THIS TRIP WITH ANY TEAMMATE? *
LIST YOUR COMMUNITY SERVICE PROJECTS/HOURS COMPLETED TO DATE: *
LIST COMMUNITY AWARDS (IF APPLICABLE):
LIST LACROSSE AWARDS (IF APPLICABLE):
LIST ACADEMIC AWARDS (IF APPLICABLE):
WHAT ARE YOUR LACROSSE GOALS FOR THE TRIP? *
IN 2 PARAGRAPHS, EXPLAIN WHY WHY YOU WANT TO COME ON THIS TRIP: *
INSTAGRAM HANDLE
TWITTER HANDLE
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