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Personal Information
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Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Hobbies:
Parent/Guardian Contact Information
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Last Name: *
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Relationship: *
Father
Mother
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Step Mother
Neighbor
Uncle
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Guardian
Aunt
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Athletic Director
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Mobile Phone:
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College Name:
Occupation:
Employer:
Work Phone:
Ext:
Parent/Guardian Contact Information
First Name: *
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
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Phone: *
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Mobile Phone:
Email:
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College Name:
Occupation:
Employer:
Work Phone:
Ext:
Parent/Guardian Contact Information
First Name: *
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
*Required
Phone: *
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Mobile Phone:
Email:
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College Name:
Occupation:
Employer:
Work Phone:
Ext:
Athletic Information
Height: *
ft.
in.
*Required
Weight: *
*Required
# Years Competing in Cross Country:
# Years Competing in Track:
List Athletic Honors and Awards:
Favorite Event:
Combined Events Best Score:
Cross Country Event 1 Best Mark:
:
:
Cross Country Event 1:
1600m
3200m
5000m
2 mile
3 mile
4K
5K
Cross Country Event 2 Best Mark:
:
:
Cross Country Event 2:
1600m
3200m
5000m
2 mile
3 mile
4K
5K
Cross Country Event 3 Best Mark:
:
:
Cross Country Event 3:
1600m
3200m
5000m
2 mile
3 mile
4K
5K
Event 1 Best Mark:
:
:
Event 1:
Event 2 Best Mark:
:
:
Event 2:
Event 3 Best Mark:
:
:
Event 3:
Event 4 Best Mark:
:
:
Event 4:
Event 5 Best Mark:
:
:
Event 5:
Field Event 1 Best Mark:
ft.
in.
Field Event 1:
Long Jump
Triple Jump
High Jump
Pole Vault
Shot Put
Discus
Hammer
Javelin
Weight Throw
Field Event 2 Best Mark:
ft.
in.
Field Event 2:
Long Jump
Triple Jump
High Jump
Pole Vault
Shot Put
Discus
Hammer
Javelin
Weight Throw
Field Event 3 Best Mark:
ft.
in.
Field Event 3:
Long Jump
Triple Jump
High Jump
Pole Vault
Shot Put
Discus
Hammer
Javelin
Weight Throw
Field Event 4 Best Mark:
ft.
in.
Field Event 4:
Long Jump
Triple Jump
High Jump
Pole Vault
Shot Put
Discus
Hammer
Javelin
Weight Throw
Field Event 5 Best Mark:
ft.
in.
Field Event 5:
Long Jump
Triple Jump
High Jump
Pole Vault
Shot Put
Discus
Hammer
Javelin
Weight Throw
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
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Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
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Class Rank:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
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Registered with Clearinghouse: *
Yes
No
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NCAA Eligibility Number :
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
School Information
School Name: *
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Guidance Counselor's Fax:
School Address 1: *
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School City: *
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School State:
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HI
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IL
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IA
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LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
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AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
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Phone:
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Website:
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Guidance Counselor's Email:
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Guidance Counselor's Phone:
School Coach Information
Your Coach:
Select your head coach
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Last Name: *
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Work Phone:
Title: *
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Mobile Phone:
Team Coach Information
Your Coach:
Select your head coach
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Last Name: *
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Email: *
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Work Phone: *
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Title:
Mobile Phone: