If you are interested in playing lacrosse at UCLA and wish to receive more information about the program, please complete the form below.
Please address all question to UCLALax@aol.com.
For all admissions questions, please see UCLA Admissions.
Full Name:
Year in School: HS Sophomore: HS Junior: HS Senior: Other: (Please specify below)
Address: Apt.:
City: State: Zip:
Phone: Email:
High School: Graduation Date:
Years playing Lacrosse: Positions:
HS Coach: Contact Information:
Parents Names: