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Student Preferred First Name
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Student Last Name
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Gender*
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Preferred Email
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Student's Birthday
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Student's Current School
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Parent/Guardian Name
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Address 1
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Address 2
City
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State
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Cell Phone Number
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Boarding or Day Student?*
Boarding
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Desired Year of Entry
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2021-22 school year
2022-23 school year
Applicant for:
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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
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