Athlete information.  Please complete entire form for any changes of information.  Only athlete's name and graduation year may be published to athletic sites.  Email is our primary source of contact so please keep your information updated.  Email will come from dutchforkrunners@gmail.com, or blindler@lex5.k12.sc.us


Athlete First Name *
Athlete Last Name *
Athlete Gender *
 Male
 Female
Year of Graduation *
Athlete Birthdate ( mm/dd/yyyy )
Parent/Guardian(s) first name(s) *
Parent/Guardian(s) last name *
Parent/Guadian email address
Athlete email address ( if different )
Home phone
Parent cell number ( provide first name of parent )
Athlete cell number ( if okay to use )
Athlete T-shirt size *
Mailing address, include ZIP *
Has athlete lettered in any sport at DF? *
 Cross Country
 Track & Field
 Other sport
 No
Any medical issues, medications, prior injuries, special circumstances, or comments I need to be aware of?
Please type the letters and numbers shown in the image.
 Captcha Code
 
 
3450