LOS ANGELES VALLEY COLLEGE
FOOTBALL

FIRST NAME  
LAST NAME  
HOME PHONE  
CELL PHONE  
EMAIL  
LEVEL  
SCHOOL NAME  

POSITION  
HEIGHT  
WEIGHT  
ACADEMIC INTEREST  
DATE OF BIRTH  
MOTHER FIRST NAME  
MOTHER LAST NAME  
FATHER FIRST NAME  
FATHER LAST NAME  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.