Names of Parents or Guardians Home Phone:
High school or college cross country coach's name: Height:
3K/5K Time 800 Time 3000/3200 Time 1500/1600 Time
Captain: Yes No
Other sports in which you played: Awards or honors won: Grade point average: ACT score: Class ranking: PSAT score math and verbal: SAT score math and verbal: Academic Honors: Do you plan to play another college sport? If so, what?