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