Prospective Athlete On-Line Application Form

Please complete the following form as completely as possible.  If a particular section does not apply to you, leave it blank.  When you are done, press the "Submit" button.  Be patient, as it may take a few seconds for the confirmation page to load.

Name:             

Address:        

City:                

State:                   Zip:    

Home Phone:  

E-Mail:           

Gender:            Male     Female

Age:                

What university do you/did you run for?  

Coach's name:  

What event do you consider your primary event? 

Please list your P.R.'s for the following events

10,000m:

5,000m:  

3,000m:  

1,500m:  

Have you ever lived at an altitude above 4,000ft for longer than 4 weeks in the past 6 months?

 No     Yes