Lynnette Reitz Head Coach, Women's Soccer lreitz3@lhup.edu (570) 484-2736
Matt DemingGoalkeeper Coach, Women's Soccermdeming@lhup.edu Apply to LHU
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Date of Birth: (mm/dd/yyy)
Age:
Grade in Sept. 2013:
Home Phone: (include area code)
Email Address: (mandatory)
High School:
Club Team:
Position: Select One GK Back MF F
Housing Status: Select One Overnight Camper Commuter
Camp Attending: Select One Elite Clinic for Girls Girls' Team Camp Youth Day Camp
Camper Type: Select One Individual Team
Preferred Roommate:
T-Shirt Size: Select One Adult Small Adult Medium Adult Large Adult X-Large
Notes: notes