Buster Cross Country 

 

Name:__________________________________________________________________

Address:________________________________________________________________

City, State & Zip__________________________________________________________

Email:____________________ Phone Number:_____________________________

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High School:____________________________ Graduation Date:________________

Height:______ Weight:_______ Age:__________

Birth Date & Year______________________ Classification: ________(ie. SR, JR)

Expected Major:________________________

Parent/Guardian Name(s):__________________________________________________

Track Coach:____________________________________________________________

What is your current level interest in GCCC?

____ very interested ___undecided/considering many schools ___not a likely choice


Event Best Performance Date

____________________________ ______________________________ ____________
____________________________ ______________________________ ____________
____________________________ ______________________________ ____________

Email Completed form to Coach Dan Delgado at
dan.delgado@gcccks.edu

or

Mail Competed form to Coach Dan Delgado at
Head Track & Cross Country Coach
GCCC
801 Campus Drive
Garden City, KS 67846