Cross Country Sign-Up: 2021
Type your first name *
Type your last name *
Type your Central Dauphin Student ID in the format 12345678 *
Select gender *
Select the grade entering in August *
Type your date of birth in the format mm/dd/yyyy *
DD
/
MM
/
AAAA
Select ALL grades you have run Cross Country including this season. (Check ALL that apply) *
Obrigatória
Type your 10 digit phone number in the format 1234567890 (do not include dashes) *
Type your email address *
Type your street address (number and street) *
Select the city you live in *
Select your ZIP code *
Type Father's/Guardian's name (parent #1)
Type Father's/Guardian's address (ONLY if different than yours above)
Type Father's/Guardian's city (only if different than yours above)
Type Father's/Guardian's ZIP (ONLY if different than yours above)
Type Father's/Guardian's 10 digit phone number in the format 1234567890 (do not include dashes)
Type Father's/Guardian's email (ONLY if different than yours above)
Type Mother's/Guardian's name (parent #2)
Type Mother's/Guardian's address (ONLY if different than others)
Type Mother's/Guardian's city (ONLY if different than others)
Type Mother's/Guardian's ZIP (ONLY if different than others)
Type Mother's/Guardian's 10 digit phone in the format 1234567890 (do not include dashes)
Type Mother's/Guardian's email (ONLY if different than others)
Type name of other (person #3) who wishes to receive XC information
Type email of other (person #3) who wishes to receive XC information
Type name of other (person #4) who wishes to receive XC information
Type email of other (person #4) who wishes to receive XC information
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