HPU Intercollegiate Club Sports Form

Name*

First Name

Last Name

Birthdate*

Preferred Email Address*

Mobile Phone Number*

Home Phone Number

Home Address*

Country

Street

City

Region

Postal Code

Are you currently enrolled as an undergraduate student at HPU?

Yes

What is your current college/university?*

Which graduate program are you interested in?*

Intended Start Term*

Which Club Sport Are You Interested In?*

Have You Played At The High School Level?*

Yes

Have You Played At The Prep Club Level? (travel ball)*

Yes

Have You Played At The Collegiate Level?*

Yes