Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Preferred Name
*Please enter valid Preferred Name
Last Name *
*Please enter valid Last Name
Middle Name
*Please enter valid Middle Name
Email Address *
*Please enter valid Email Address
Home Address1 *
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country
*Please enter valid Country
Contact Number
*Please enter valid Contact 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/Guardian 1 Name
*Please enter valid Parent/Guardian 1 Name
Parent 1/Guardian Alma Mater
*Please enter valid Parent 1/Guardian Alma Mater
Parent/Guardian 2 Name
*Please enter valid Parent/Guardian 2 Name
Parent 2/Guardian Alma Mater
*Please enter valid Parent 2/Guardian 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
GPA
*Please enter valid GPA
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Other College Choices
*Please enter valid Other College Choices
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 of Game Film
*Please enter valid Link to Highlight Video of Game Film
Height
FeetInch
*Please enter valid Height
Athletic Stats
*Please enter valid Athletic Stats
Athletic Awards
*Please enter valid Athletic Awards
Varsity Starter
*Please enter valid Varsity Starter
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
Track and Field Event #2 Best Time
*Please enter valid Track and Field 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
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 Coach Name
*Please enter valid Track Coach Name
Track Coach Phone Number
*Please enter valid Track Coach Phone Number
Track Coach Email
*Please enter valid Track Coach Email
Link to Online Stats
*Please enter valid Link to Online Stats
Senior Year Cross Country Highlight(s)
*Please enter valid Senior Year Cross Country Highlight(s)
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
What running related injuries are you experiencing
*Please enter valid What running related injuries are you experiencing
CC Coach Name
*Please enter valid CC Coach Name
CC Coach Email
*Please enter valid CC Coach Email
CC Coach Phone
*Please enter valid CC Coach Phone