Join a Club Sport Team

Email address *

First name *

Last name *

Cell Phone Number *

What best describes your Gender

Female Male Non-Binary Prefer not to say

What best describes your status at Western:

Enrolled part-time Enrolled full-time I am a prospective student

What best describes the campus you are enrolled at?

La Crosse Black River Falls Viroqua Independence Tomah Sparta Mauston

What sport team(s) are you interested in joining?

Bowling Cornhole Cross Country Other

Have you played this/these sports before?

Yes No

How many years of experience do you have playing this sport?

None 1-2 3-4 5+

Do you have a preferred training days or times of the week?

Do you have any medical conditions, allergies, etc. that we should be made aware of?

Please provide an emergency contact name and phone in the event of emergency and they need to be contacted.

* required field