Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Preferred Name
*Please enter valid Preferred Name
Middle Name
*Please enter valid Middle 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 Address 2
*Please enter valid Home Address 2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country
*Please enter valid Country
Home Phone Number *
*Please enter valid Home Phone Number
Cell Phone Number
*Please enter valid Cell Phone Number
Graduation Year *
*Please enter valid Graduation Year
Program: Cross Country and or Track and Field *

*Please enter valid Program: Cross Country and or Track and Field
Date of Birth
*Please enter valid Date of Birth
Home Church you attend
*Please enter valid Home Church you attend
Have you accepted Christ as your personal savior? *

*Please enter valid Have you accepted Christ as your personal savior?
Background

Parent 1 Name
*Please enter valid Parent 1 Name
Parent 1 Alma Mater
*Please enter valid Parent 1 Alma Mater
Parent 2 Name
*Please enter valid Parent 2 Name
Parent 2 Alma Mater
*Please enter valid Parent 2 Alma Mater
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
High School GPA
*Please enter valid High School GPA
Self Reported ACT Score
*Please enter valid Self Reported ACT Score
Self Reported SAT Total
*Please enter valid Self Reported SAT Total
Other College Attending
*Please enter valid Other College Attending
Entry Term
*Please enter valid Entry Term
Student Type *

*Please enter valid Student Type
Academic Interest
*Please enter valid Academic Interest
Other Academic Interest
*Please enter valid Other Academic Interest
Athletic

High School Sports Participated In *
*Please enter valid High School Sports Participated In
Link to Highlight Video or Game Film
*Please enter valid Link to Highlight Video or Game Film
Height
FeetInch
*Please enter valid Height
Cross Country Athletic Stats
*Please enter valid Cross Country Athletic Stats
Cross Country Athletic Awards
*Please enter valid Cross Country Athletic Awards
Event(s)







*Please enter valid Event(s)
Track and Field Event #1
*Please enter valid Track and Field Event #1
Track and Field Event #1 Best Time
*Please enter valid Track and Field Event #1 Best Time
Track and Field Event #2
*Please enter valid Track and Field Event #2
Event #2 Best Time
*Please enter valid Event #2 Best Time
Track and Field Event #3
*Please enter valid Track and Field Event #3
Track and Field Event #3 Best Time
*Please enter valid Track and Field Event #3 Best Time
Track and Field Event #4
*Please enter valid Track and Field Event #4
Track and Field Event #4 Best Time
*Please enter valid Track and Field Event #4 Best Time
Varsity Starter
*Please enter valid Varsity Starter
Senior Year Track and Field Highlight(s)
*Please enter valid Senior Year Track and Field Highlight(s)
Junior Year Track and Field Highlight(s)
*Please enter valid Junior Year Track and Field Highlight(s)
What track related injuries are you experiencing?
*Please enter valid What track related injuries are you experiencing?
Track and Field Coach Name
*Please enter valid Track and Field Coach Name
Track and Field Coach Email
*Please enter valid Track and Field Coach Email
Track and Field Coach Phone
*Please enter valid Track and Field Coach Phone
Link to Online Stats
*Please enter valid Link to Online Stats
CC In-season mileage as a Junior
*Please enter valid CC In-season mileage as a Junior
CC In-season mileage as a Senior
*Please enter valid CC In-season mileage as a Senior
CC Summer - weekly mileage
*Please enter valid CC Summer - weekly mileage
CC Summer - number of days per week
*Please enter valid CC Summer - number of days per week
CC Summer - number of weeks
*Please enter valid CC Summer - number of weeks
Senior year Cross Country highlight(s)
*Please enter valid Senior year Cross Country highlight(s)
What running related injuries are you experiencing
*Please enter valid What running related injuries are you experiencing
CC High School Coach Name
*Please enter valid CC High School Coach Name
CC High School Coach Email
*Please enter valid CC High School Coach Email
CC High School Coach Phone
*Please enter valid CC High School Coach Phone