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.

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