Esports Inquiry Form

    Biographical Information:
    Birthdate
    Birthdate
    Mailing Address
    Mailing Address
    Contact Information:
    I consent to be contacted by Wagner College at the mobile number provided below.
    I consent to be contacted by Wagner College at the mobile number provided below.
    School Information:
    Esports Information:
    Esports Played:
    Esports Played:
    Are you a Console (PS4, Xbox, Switch) Player or a PC Player? The program will be working with mainly PCs.
    Are you a Console (PS4, Xbox, Switch) Player or a PC Player? The program will be working with mainly PCs.