AF Lacrosse Alumni/Friends Questionnaire

    Please fill out all of the fields in this questionnaire. If any of the fields is not applicable, put in "N\A." Thank you for taking the time to fill out this form

    Eric Seremet
    Head Lacrosse Coach

    General Information

    Are you an alum or friend of the program?

    Alum
    Friend

    Last Name:

    First Name:

    Graduation Year:

    Years Competed in Lacrosse (i.e. 2000, 01, 02):

    Contact Information

    Personal Email Address:

    Work Email Address:

    Preferable email address to receive correspondence:

    Personal
    Work

    Is it permissible to list your name and email address on the lacrosse alumni page?

    Yes
    No

    Home Street Address:

    City:

    State:

    Zip Code:

    Telephone #

    Career/Family Information

    Current Rank (if still in USAF):

    Current AF Base (if still in USAF):

    Current Job (Brief Description):

    Current Company or Institution (if not in USAF):

    Spouse's Name:

    Child(ren)'s Name(s)




    Child(ren)'s Age(s)




    Are you interested in joining a "booster club" specific to lacrosse?

    Yes
    No

    Please list here any other comments you would like to make:

    You will be re-directed to the Lacrosse Home Page upon submission of the form.

    Inside Men's Lacrosse