Student Preferred First Name*
Student Last Name*
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…
2021-22 school year
2022-23 school year
Applicant for:*
Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Running Information
I run for:
My School Team
A local youth track organizaiton
Both my school and a track club
I enjoy running and want to try cross country
Years of experience, including the current or upcoming season
1
2
3
4+
Please list your best times at the following distances: 800, 1 Mile, 2 Mile, 3K, 5K
If you have never run a timed race at a particular distance, please put n/a
Additional Questions/Comments
Please send a confirmation email to the address below: