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LCC Women's Basketball: Questionnaire

Please complete the online questionnaire if you are interested in continuing your athletic career with Runnin' Lopes Women's Basketball. A coach will contact you in the near future.

CONTACT INFORMATION Full Name * Contact Phone E-mail Address * Mailing Address * City * State / Province * Zip / Postal Code * Country

Age Date of Birth EDUCATION High School School Address City State Zip / Postal Code Country Graduation Date GPA SAT ACT BASKETBALL EXPERIENCE High School Coach Phone Summer / Club Team

Height Weight NCAA Clearing House Qualifier Positions Played Points per Game Rebounds per Game Assists per Game Dominant Hand Please list major academic and athletic honors: