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Cross Country
Coach: Chip Wilson

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Personal Information
*Name:
*Street Address:
*City, State, Zip:
*Phone Number:
*E-mail Address:
*High School:
*Graduation Year:
Date of Birth (M/D/Y): / /
Gender: Male Female
Height: feet inches
Weight: lbs.
Church You Attend (if any):
Pastor's Name:
GPA:
Class Rank (if applicable):
ACT score:
SAT score:
Intended major:
Other interests:
Parent(s) Name(s):
Parent(s) Occupation(s):

Cross Country Information
High School Level:
Divison: I II III IV
Head Coach:
Coach’s Home Phone:
Fastest 3.1 Miles Time:
Honors/Awards/Stats Received:
Additional Comments:
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