Thank you for your interest in the Salisbury University cross country program. Please fill out your information below so a coach can contact you. Thank you!

Name:

Please select one:
 Male     Female

Street Address:
City:           State:           Zip Code:

Home Phone:

Cell Phone:

E-mail:

Birthday:          

Graduation Year:

Father/Guardian Name:

Mother/Guardian Name:



ACADEMIC INFORMATION

High School:

High School Address:


GPA:     

SAT:      Date Taken:

ACT:      Date Taken:

Class Rank:     Out of:

Special Interests/Extracurricular Activities:


Academic Interest:

HIGH SCHOOL CROSS COUNTRY INFORMATION

Coach:

Please enter your times for the distances below. If you have an additional distance you want to add please add in the fourth line.

800 meters:             

1600 meters:   
        
3200 meters:        

5K time:        

Other:                      Best Mark:


Honors:



Other Sports Played: