Prospective Athlete Form

Email Secondary Email

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Email address *

First name *

Last name *

Address 1 *

City *

Cell Phone Number *

Are you a Canadian citizen? *

Yes No

Date of Birth *

Date Picker

Anticipated Start Date *

Date Picker

High School Name and Address *

High School Graduation Year:

Academic Awards

Lambton College Program Choice

Lambton College Student Number (if you have it)

Sport *

Height *

Position *

Current Team (if different from high school)

Career Statistics (athlete of the year, team MVP, captain, etc)

Team Highlights in Career

Level of Playing Experience

* required field