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If you are interested in participating in an Intercollegiate Sport at La Roche College, please fill in all the blanks below and click submit. The information you provide will be sent to the appropriate head coach.

PLEASE NOTE: Fields in RED font are REQUIRED.

First Name:
Middle Initial:
Last Name:
Nickname:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
( ) -
Email:

Age:     Sport:

I am a student in and I am in my year.

If you are a transfer student, please provide the name of your previous institution.

I am considering attending La Roche College in the of

Comments:
Thank you for completing this information. We will be in touch with you soon.