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Winter Track & Field Athlete Survey
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First Name
*
Your answer
Middle Initial
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Prefer not to say
Other:
Grade
*
9
10
11
12
Student ID #
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Email Address
*
Your answer
Mother's Full Name
Your answer
Mother's Phone Number (Work)
Your answer
Mother's Phone Number (Mobile)
Your answer
Mother's Email Address
Your answer
Father's Full Name
Your answer
Father's Phone Number (Work)
Your answer
Father's Phone Number (Mobile)
Your answer
Father's Email Address
Your answer
Tryout Group
Sprinters - 100m, 200m, 400m
Mid-Distance - 200m, 400m, 800m
Distance - 400m, 800m, 1600m
Throwers - 100m, 200m, Shotput Distance
Cross Country- 2 Mile Burke Lake
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T-Shirt Size
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XS
S
M
L
XL
XXL
Seasons of Cross Country / Track & Field Experience
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1
2
3
4
5
6
7
8
9
10
11
I have no experience with cross country or track & field.
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