Student Preferred First Name*
Student Last Name*
Gender*
Female
Male
Preferred Email*
Student's Birthday*
Student's Current School*
Parent/Guardian Name*
Address 1*
Address 2
City*
State
Zip
Country*
Cell Phone Number*
Boarding or Day Student?*
Boarding
Day
Desired Year of Entry*
Please Select…
2020-21 school year
2021-22 school year
Applicant for:*
Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Track and Field Information
I plan to run:
Indoor and Outdoor Track
Indoor Track Only
Outdoor Track Only
I compete for:
My School Team
A local youth track organizaiton
Both my school and a track club
Years of experience, including the current or upcoming season
1
2
3
4+
Please list each event in which you compete and your best performance in that event
*Please note: if you are a Jr. High/youth athlete or come from a state or league that does not contest all events (javelin throw, pole vault, triple jump, etc.) but are interested in these events, please indicate such interest.
Additional Questions/Comments
Please send a confirmation email to the address below: