Recruitment Form - Lansing Community College Athletics- Print Version

Use the below "Recruitment Form" to get your information to our coaches. Once submitted our head coach will recieve an email with your information immediately.

Contact Information

Email address *

First name *

Last name *

Address 1

Address 2

City

State

ZIP Code

Cell Phone Number

Mother's Name

Mother's Phone Number

Mother's Email Address

Father's Name

Father's Phone Number

Father's Email Address

Academic Information

Name of High School *

Date of Graduation *

High School Coach's Name

High School Coach's Phone Number

High School Coach's Email Address

Athletic Information

Events You Participate In *

Personal Best For Events *

* required field