2023/2024 LaSalle Athletics U19/U23/Intermediate Expression of Interest Form (Turtle Club Baseball and Softball)

Player Last Name^*

Required

Family Name

Player First Name^*

Required

Given Name

Date of Birth^*

Required

Address^*

Required

Primary Residence (# Street, Town/City)

Postal Code^*

Required

No Spaces

Primary Contact Phone Number^*

Required

Example: ###-###-####

Primary Contact Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

If "Other" - Please indicate organization and team