Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Nickname
*Please enter valid Nickname
Last Name *
*Please enter valid Last Name
Date of Birth
*Please enter valid Date of Birth
Email Address *
*Please enter valid Email Address
Cell Phone Number *
*Please enter valid Cell Phone Number
Secondary Phone Number
*Please enter valid Secondary Phone Number
Gender


*Please enter valid Gender
Home Address *
*Please enter valid Home Address
Apt
*Please enter valid Apt
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country *
*Please enter valid Country
Student Type


*Please enter valid Student Type
Are you an International Student?

*Please enter valid Are you an International Student?
Intended Major
*Please enter valid Intended Major
Background

Parent/Guardian 1 Name
*Please enter valid Parent/Guardian 1 Name
Parent/Guardian 1 Phone
*Please enter valid Parent/Guardian 1 Phone
Parent/Guardian 1 Email Address
*Please enter valid Parent/Guardian 1 Email Address
Parent/Guardian 1 Relationship
*Please enter valid Parent/Guardian 1 Relationship
Parent/Guardian 2 Name
*Please enter valid Parent/Guardian 2 Name
Parent/Guardian 2 Phone
*Please enter valid Parent/Guardian 2 Phone
Parent/Guardian 2 Email
*Please enter valid Parent/Guardian 2 Email
Parent/Guardian 2 Relationship
*Please enter valid Parent/Guardian 2 Relationship
Academic

High School *
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
Graduation Year *
*Please enter valid Graduation Year
GPA *
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Reading
*Please enter valid SAT Reading
ACT
*Please enter valid ACT
High School Coach Name *
*Please enter valid High School Coach Name
High School Coach Phone Number *
*Please enter valid High School Coach Phone Number
Are you a transfer student?

*Please enter valid Are you a transfer student?
Permission to contact/self release may be needed
*Please enter valid Permission to contact/self release may be needed
If yes please list College Name
*Please enter valid If yes please list College Name
Coach Name *
*Please enter valid Coach Name
Coach Email Address *
*Please enter valid Coach Email Address
Coach Phone Number *
*Please enter valid Coach Phone Number
Athletic

Sport


*Please enter valid Sport
Athletic Honors
*Please enter valid Athletic Honors
Cross Country
*Please enter valid Cross Country
Event #1 *
*Please enter valid Event #1
Top Time #1 *
*Please enter valid Top Time #1
Event #2 *
*Please enter valid Event #2
Top Time #2 *
*Please enter valid Top Time #2
Track and Field
*Please enter valid Track and Field
Event Area *
*Please enter valid Event Area
Event 1 *
*Please enter valid Event 1
Top Time/Dist 1 *
*Please enter valid Top Time/Dist 1
Event 2
*Please enter valid Event 2
Top Time/Dis 2
*Please enter valid Top Time/Dis 2
Event 3
*Please enter valid Event 3
Top Time/Dis 3
*Please enter valid Top Time/Dis 3
Top College
*Please enter valid Top College