Personal Information First Name: * Last Name: * Middle Name: Preferred Name: Email: * Address: * City: * State: AL AK AR AS AZ CA CO CT DE FL GA HI ID IL IN IA KS KY 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 WI WY AB AE BC DC MB NB NL NS NT NU ON PE QC SK UN YT PR VI Zip: Country: Phone: * Mobile/Alt. Phone: Gender: M F Place of Birth: Date of Birth: * Hobbies:   Parent/Guardian Contact Information First Name: * Last Name: * 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 Phone: * Mobile Phone: Email: College Name: Occupation: Employer: Work Phone: Ext:   Parent/Guardian Contact Information First Name: * Last Name: * 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 Phone: * Mobile Phone: Email: College Name: Occupation: Employer: Work Phone: Ext:   Parent/Guardian Contact Information First Name: * Last Name: * 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 Phone: * Mobile Phone: Email: College Name: Occupation: Employer: Work Phone: Ext:   Athletic Information Swim Experience: Bike Experience: Running Experience: Triathlon Experience: Other Sports Played: Why Interested in Newberry College?: Where did you hear about Newberry College Triathlon?:   Academic Information SAT: SAT Math: SAT Verbal: Class: * High School 2-Year College 4-Year College Post-High School, Non-College ACT: GPA: * Class Rank: Grad Year: * 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Registered with NCAA Eligibility Center?: * Yes No Eligibility Center ID: Intended Major: 1st College Preference: 2nd College Preference: 3rd College Preference:   School Information School Name: * Clear School Address 1: * School Address 2: School City: * School State: AL AK AR AS AZ CA CO CT DE FL GA HI ID IL IN IA KS KY 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 WI WY AB AE BC DC MB NB NL NS NT NU ON PE QC SK UN YT PR VI School Zip: School Country: Phone: Fax: Mascot: Colors: Website: P First Name: P Last Name: P Email: P Phone: P Fax: R First Name: R Last Name: R Email: R Phone: R Fax: Guidance Counselor's First Name: Guidance Counselor's Last Name: Guidance Counselor's Email: Guidance Counselor's Phone: Guidance Counselor's Fax:   School Coach Information Your Coach: Select your head coach My coach isn't in this list, I'll provide the information below First Name: *   Last Name: *   Email: Title: *   Work Phone: Mobile Phone:   Team Information Team Name: * Clear District: Team Address 1: * Team Address 2: Team City: * Team State: * AL AK AR AS AZ CA CO CT DE FL GA HI ID IL IN IA KS KY 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 WI WY AB AE BC DC MB NB NL NS NT NU ON PE QC SK UN YT PR VI Team Zip: * Team Country: Phone: * Fax: Mascot: Colors: Website:   Team Coach Information Your Coach: Select your head coach My coach isn't in this list, I'll provide the information below First Name: *   Last Name: *   Email: *   Title: Work Phone: *   Mobile Phone:   Second Team Information Team Name: Team Address: Team City: Team State: Team Zip: Team Country: Phone: Fax: Mascot: Website:   Second Team Coach Information First Name: Last Name: Email: Work Phone: Title: Mobile Phone: