Form must be filled out completely to be eligible for entry. If a question does not apply to you, please put N/A in the box.
Social Security Number
Parent Work Telephone
Rank In Class
Grade Point Average
Name of Coach
Home Telephone of Coach
Date of Birth
How many days of school have you missed in the past year?
Please list any injuries you have had.
How many meets have you missed due to injury or illness?
Please list any other sports you have played on the varsity level.
Please list your best track and field/cross country performances, starting with the event and date, the place, your performance and the site.