Thank you for your interest in the University of Wisconsin-Platteville Men's Soccer Program.
City, State, Zip Code
Names and Ages of Brothers and/or Sisters
Are you a transfer student?
If yes, what school?
Semester You Plan on Transferring
Club Team Name
Club Coach's Name
Number of Years Played Club
Date of Graduation
Friends or Family Attending or Who Have Attended UW-Platteville
Other Sports in Which You Participate