UNRL APP

1
Player Name* This field is required.
First Name
Last Name
2
What opportunities are you interested in?* This field is required.
Field Lacrosse Only
Box Lacrosse Only
Both Box & Field
3
Hey {name:first}, What Year Do You Graduate?* This field is required.
--Select Year--
--Select Year--
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Pick the year you graduate
4
Where Are You From?* This field is required.Please list City & High School
Street Address
Street Address Line 2
City & High School
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
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Maine
Maryland
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Michigan
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Mississippi
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New Hampshire
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Ohio
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Rhode Island
South Carolina
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Tennessee
Texas
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Vermont
Virginia
Washington
West Virginia
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State
Zip Code
Please Select
Please Select
Afghanistan
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American Samoa
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Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
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Belarus
Belgium
Belize
Benin
Bermuda
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
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Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
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Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
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Guadeloupe
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Guinea-Bissau
Guyana
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Iran
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Jamaica
Japan
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Jordan
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Laos
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Liberia
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Mali
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Mayotte
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Montserrat
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Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
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Nigeria
Niue
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Northern Mariana
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Panama
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Paraguay
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Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
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Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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eSwatini
Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
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United States
Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
What Position Do You Play?* This field is required.
Attack
Midfield
Defense
Face-off
LSM
Goalie
6
What's Your Coaches Contact?* This field is required.
Coach Name
Coach Email
What Club/Team Do They Coach
7
What Team(s) Have You Played For?* This field is required.
8
What's Your Player Contact Information?* This field is required.
Player Email
Player Cell
9
What's Your PARENT/GUARDIAN Contact?* This field is required.
Parent/Guardian First and Last Name
Parent Email
Parent Cell
10
Player GPA* This field is required.Please mention weighted or Unweighted
11
Player Instagram Handle
12
If You Have a Highlight Tape Link it Below
13
Player Profile Headshot
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