Women's Basketball - Recruit Me Form

Biographical Information

First Name*

Preferred Name

Last Name*

Birthdate

Email Address*

Cell Phone*

Gender*

Female

Mailing Address*

Country

Street

City

Region

Postal Code

Do you have a friend or family member with a connection to Loras College?

Please list first and last name and relationship to you

Sport Info

Position(s)

Jersey Number

Height

AAU Team

Website/Recruiting Profile/
Highlight Film Link

Parent/Guardian #1 Information

First Name

Last Name

Email

Phone

Relation Type (internal)