Questionnaires
Edit Picture
Add Picture
Fields marked with
*
are mandatory
General
First Name
*
*Please enter valid First Name
Last Name
*
*Please enter valid Last Name
Email Address
*
*Please enter valid Email Address
Home Address 1
*
*Please enter valid Home Address 1
Home Address2
*Please enter valid Home Address2
City
*
*Please enter valid City
State
*
Select
United States
AL
AK
AZ
AR
AS
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Canada
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
*Please enter valid State
Zip
*
*Please enter valid Zip
Contact Number
*Please enter valid number
Cell Phone Number
*
*Please enter valid number
Graduation Year
*
*Please enter valid number
Instagram Username
*Please enter valid Instagram Username
Twitter Username
*Please enter valid Twitter Username
Facebook Link
*Please enter valid Facebook Link
Profile Image
*Please enter valid Profile Image
Date of Birth
Open the calendar popup.
<<
<
April 2024
>
>>
S
M
T
W
T
F
S
14
31
1
2
3
4
5
6
15
7
8
9
10
11
12
13
16
14
15
16
17
18
19
20
17
21
22
23
24
25
26
27
18
28
29
30
1
2
3
4
19
5
6
7
8
9
10
11
*Please enter valid Date of Birth
Preferred Name
*Please enter valid Preferred Name
Sex
*
M
F
*Please enter valid Sex
Background
Parent/Guardian 1 Name
*Please enter valid Parent/Guardian 1 Name
Parent/Guardian 1 Phone Number
*Please enter valid Parent/Guardian 1 Phone Number
Parent/Guardian 1 Email Address
*Please enter valid Parent/Guardian 1 Email Address
Parent/Guardian 2 Name
*Please enter valid Parent/Guardian 2 Name
Parent/Guardian 2 Phone Number
*Please enter valid Parent/Guardian 2 Phone Number
Parent/Guardian 2 Email Address
*Please enter valid Parent/Guardian 2 Email Address
Sibling(s) Name(s) / Age(s)
*Please enter valid Sibling(s) Name(s) / Age(s)
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
GPA
*
*Please enter valid number
GPA Scale
*Please enter valid GPA Scale
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Other College Choices
*Please enter valid Other College Choices
Intended Major
*
*Please enter valid Intended Major
Class Rank
*Please enter valid Class Rank
Athletic
Position
*
Sprints
Jumps
Distance
Mid-Distance
Hurdles
Throws
PV
*Please enter valid Position
Recruiting Website
*Please enter valid Recruiting Website
Youtube Link
*Please enter valid Youtube Link
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Phone Number
*Please enter valid High School Coach Phone Number
High School Coach Email Address
*Please enter valid High School Coach Email Address
100M Personal Record
*Please enter valid 100M Personal Record
200M Personal Record
*Please enter valid 200M Personal Record
400M Personal Record
*Please enter valid 400M Personal Record
800M Personal Record
*Please enter valid 800M Personal Record
1600M Personal Record
*Please enter valid 1600M Personal Record
3200m Personal Record
*Please enter valid 3200m Personal Record
XC 4K Personal Record
*Please enter valid XC 4K Personal Record
XC 3 mile Personal Record
*Please enter valid XC 3 mile Personal Record
XC 5K Personal Record
*Please enter valid XC 5K Personal Record
100/110M Hurdles Personal Record
*Please enter valid 100/110M Hurdles Personal Record
300M Hurdles Personal Record
*Please enter valid 300M Hurdles Personal Record
High Jump Personal Record
*Please enter valid High Jump Personal Record
Long Jump Personal Record
*Please enter valid Long Jump Personal Record
Triple Jump Personal Record
*Please enter valid Triple Jump Personal Record
Pole Vault Personal Record
*Please enter valid Pole Vault Personal Record
Shot Put Personal Record
*Please enter valid Shot Put Personal Record
Discus Throw Personal Record
*Please enter valid Discus Throw Personal Record
Javelin Personal Record
*Please enter valid Javelin Personal Record
Describe Yourself
*Please enter valid Describe Yourself
Comments/Questions
*Please enter valid Comments/Questions
What day/date would you like to visit CUW
Open the calendar popup.
<<
<
April 2024
>
>>
S
M
T
W
T
F
S
14
31
1
2
3
4
5
6
15
7
8
9
10
11
12
13
16
14
15
16
17
18
19
20
17
21
22
23
24
25
26
27
18
28
29
30
1
2
3
4
19
5
6
7
8
9
10
11
*Please enter valid What day/date would you like to visit CUW
I am intereseted in hearing about sports camps in my area through
Ryzer
.
When you opt in to Ryzer, we share your email address, zip code, and name with Ryzer so that they can send you information on relevant camps that you might be interested in.
The data in Ryzer is subject to their
data privacy policy
. Data in Ryzer does not expire and can be removed in Ryzer and by request anytime.
Personal Contacts
Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.
First
Last
Mother
Father
Guardian
Sibling
Grandparent
Relative
HS Coach
Club Coach
Athletic Director
Scout/Recruiter
Trainer
Mentor
Guidance Counselor
Teacher
Friend
Other
Email
Main #
Secondary #
Cell #
Save
Invalid Email
Invalid Main
Invalid Secondary
Invalid Cell
Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
* Please validate captcha.
Boom! Submitting your info. Great work!