Senior Bowl Nomination Form is due to Don Desautels by Oct 31 / Games are Saturday, Nov.29 

Fill out, print and fax to Don Desautels @ 860-434-0717  or mail to Don Desautels c/o LOLMS, 53 Lyme St, Old Lyme, CT 06371  

Player  

Address  Town   Zip 

Area Code/Phone #  E-mail Address- 

School -    CIAC Class    S  M  L  LL (circle one)

League or Conference

Coach -
Coach Home Phone # email____________________________________
                                                                          Career Information:
Position(s) Played:
Years on Varsity        Years as Starter

Career Goals   Goal Breakdown  Fr            So           Jr          Sr  
      
Career Assists -    Assist Breakdown   Fr         So       Jr       Sr     

                                                                                Goalkeeper      
Career Shutouts   Shutout Breakdown  Fr    So      Jr      Sr   
                                                                             Individual Skills
Marking Ability                      
Containing & Tackling Skills   
1V1 Defending                      
Clearing Skills 
Communication Skills
                                                                            Individual Awards
All Conference:              
All State/NE/American.  
All Area Recognition:     
Coaches Comments:- Please do not use more than this space. If you nominated more than one player: This player ranks _____of the_____ players I nominated.