Barton Online Forms

Track & Field/Cross Country Questionnaire

Personal and Academic Information:

Full Name:	Social Security Number:	E-mail Address:


Permanent Address:	City, State and ZIP:	Home and Cell Phone Numbers:


Birth Date (MM/DD/YYYY):	Height:	Weight:


Parent/Guardian's Name(s):	Parent/Guardian's Occupation(s):	Name of High School:


High School Address:	City, State and ZIP:	High School Phone Number:


High School Coach's Name:	H.S. Coach's Phone Number:	Grade Point Average:


High School Graduation Date:	Rank in Class:	Areas of Academic Interest:


ACT or SAT Score:	Academic Awards/Honors/Etc:

Track & Field/Cross Country Information:

Please list your five best track and field event performances, in the following order:
Event, Best Effort, Date, Second Best Effort, Date.
(Please use commas as demonstrated above, and separate the lines of information with a double space. Thanks!)