Full Name
Address
City   State
Zip   Telephone   -   -
Parent's Names
Parent's Address
Hometown   State
Zip   Parent's Telephone   -   -
High School   Town
Graduation 1998 1999 2000 2001 2002 2003 2004
Height   -     Weight   Date of Birth (MM-DD-YYYY)
Marital Status Single Married
What will be your athletic classification when you arrive at SBU? Freshman Sophomore Junior Senior
Name(s) of Hometown Newspapers
Academic and other non-athletic awards and scholarships received in high school (i.e., National Merit Finalist or Math Scholarship).

Extracurricular activities in high school (non-athletic)

Unusual stories and facts about you that may be worth of freatures or special notes

Cross Country Information

Position   
Best times: 400   800  1,500   3-mile  5,000   10,000  Marathon
High School Coach

List your experience in cross country (High School, JC, college, etc. Name the school or club and the statistics you achieved).

Cross Country honors to date (MVP, Most Inspirational, all-league honors, league champions, trophies won, etc.).

List your experience in other sports and years.


Photo Release (Please read, accept and type name for signature): I hereby consent to and authorize the use and reproduction by Southwest Baptist University, and anyone authorizd by them, of any and all photographs which have been, or wil be taken of me by them or their designees during my tenure as a student-athlete, for any purpose whatsoever, without further compensation to me. All negatives and positives, togehter with the prints, shall constitute the property of by Southwest Baptist University soley and completely.