2019 Centerville Boys Cross Country
Please completely fill out this form if you (or your son) intend to run cross country for Centerville High School this fall. I understand some questions may be left blank, but please fill out the form as much as possible.

(The first email address you enter will receive a confirmation email with your responses and you will be able to log back in with this email to change your information)

Email address *
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Athlete's Grade *
Athlete's Unit *
Athlete's Home Room Advisor (if unknown at this time please write "unknown") *
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Athlete's Birthday
MM
/
DD
/
YYYY
Athlete's Email
Your answer
Athlete's Cell Phone Number
Your answer
Father's Name
Your answer
Father's Cell Phone Number
Your answer
Father's Email Address
Your answer
Mother's Name
Your answer
Mother's Cell Phone Number
Your answer
Mother's Email Address
Your answer
Home Phone Number
Your answer
Additional Email Address (if any)
Your answer
Shirt Size *
Additional Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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