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NMHS CROSS COUNTRY
2019 REGISTRATION FORM
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* Indicates required question
Email
*
Your email
All STUDENTS MUST PROVIDE A PHYSICAL PACKET TO PARTICIPATE
Physical packets can be picked up in the front office.
Student Information
Student First Name
*
Your answer
Student Last Name
*
Your answer
Gender
*
Male
Female
Required
Grade
*
Choose
9th
10th
11th
12th
Home Phone
*
(xxx-xxx-xxxx)
Your answer
Student Cell Phone #
*
(xxx-xxx-xxxx)
Your answer
Student E-mail
*
Your answer
Please list all other sports you have participated in at NMHS?
Your answer
Do you have a physical on file at NMHS? If so, please identify the sport.
*
YES
No
Required
Parent Information
Guardian Name
*
Your answer
Guardian Cell Phone
*
(xxx-xxx-xxxx)
Your answer
Guardian Work Number
*
(xxx-xxx-xxxx)
Your answer
Guardian E-mail
*
Your answer
EMERGENCY CONTACT INFORMATION
Emergency Contact Name & Relation
*
Name and Relation (Aunt, Uncle, Brother, etc...)
Your answer
Emergency Contact Phone #
*
(xxx-xxx-xxxx)
Your answer
T-SHIRT
Adult size
SMALL
MEDIUM
LARGE
X-LARGE
XX-LARGE
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