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Mentorship Interest Form
Thank you for your interest in The Lax Lab and our Mentorship Program.
You will now be receiving emails from Info@TheLaxLab.com on all future training and mentorship opportunities.
Additionally, please have both parent and players text the
player’s name and graduation year
to +1 (973) 355-7773 to get weekly updates on training!
Player First Name
Player Last Name
High School Graduation Year
Player Date of Birth
Player Phone Number
Email Address
Position
Select an option
Attack
Mid-Field
Defense
Goalie
We are interested in
Select an option
Group Training (12 or less)
Semi Private (3-6 players)
Private (1 on 1 coaching)
Mentorship Program
Film Review
Parent First Name
Parent Last Name
Parent Phone Number
Parent Email Address
Website
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First Name
Last Name
Email
Phone
Position
Grade Year
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2019
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2021
Offers
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Offensive
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Mentorship
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