First Name:
Last Name:
Email:
Phone Number:
Date of Birth:
Graduation Date:
Address:
City:
State:	Pick your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Height:
Weight:
Shoe Size:
Flat:
Spike:
Academic Information:
High School:
Phone Number:
Address:
City:
State:	Pick your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Guidance Counselor:
Phone Number:
ACT Score:
SAT Score:
Cumulative GPA:
Class Rank:
Academic Area of Interest:
Applied to NCAA Clearinghouse:	YES NO
If YES, Date Applied:
NCAA PIN #:
Applied to :	YES NO
Accepted to :	YES NO
Other Junior Colleges or Universities Attended:
Athletic Information:
Seasons:	Cross Country Track & Field Both: Cross Country and Track & Field
Coach's Name:
Coach's Home Phone #:
Event:
Perfomance:	Date:
Perfomance:	Date:
Event:
Perfomance:	Date:
Perfomance:	Date:
Event:
Perfomance:	Date:
Perfomance:	Date:
Factors in Choosing the Right School:
Other Colleges in Consideration:
Enter Code:

Please fill out the form in its entirety. The form will be sent to the Coaching Staff.