First Name:                    

Last Name:                   

E-Mail Address:                 

********************************PERSONAL INFORMATION******************************

The following information will help us as we get into the season. Please fill out and submit. Once you submit, you should receive an e-mail with all the information you provided. If you know anybody else that might be interested in coming out for the team, let them know about the website.

1) Grade

Freshman
Sophomore
Junior
Senior

2) Gender

Male
Female

3) Height:

4) Weight (optional - required if interested in Pole Vault):

5) Birthdate (Month/Day/Year):

6) Home Phone Number:

7) Parents or Guardians Names:

8) Parents/Guardians email (if known)?

********************************GENERAL INFO****************************************

9) Aspirations (pick one)

Run In College
Win an Individual and/or Team State Title
Varsity This Year
Varsity before I graduate
JV

10) Events Possibly Interested in (check all that apply):

100 Dash        200 Dash         400 Dash
800 Run          1600 Run         3200 Run
Pole Vault       High Jump       Long Jump       Triple Jump
Shot Put          Discus              High Hurdles   Intermediate Hurdles
4x100              4x200               4x400                4x800

11)Why did you decide to come out for LHS Track & Field? (choose best choice that fits you):

Competition
Love for sport
To stay in Shape for another sport
Parents Made me
Want to be on a team
Other

12) If you are thinking of coming out for the team for the first time this year, you can elect to skip this question and go to question #13. We hope all veterans will answer this question.

Is there any goals for the winter and/or spring season you would like to share with us now?

13) Other Info: Is there anything else you would like to share about yourself? Are you in any clubs? Do you have a job? Have you ever done track & field outside of the high school team? Did your parents do track & field? siblings?

14) Date of Last Physical (Month/Year) - All athletes must have a physical form on file to participate in sports. A physical is good for one year. If you have received a physical in the last year and you played a sport at Liberty (or tried out) please indicate the month and year of physical. If you have not played a sport at Liberty be sure to bring your physical form filled out to practice. You can not participate in practice till we have this form (still come if you don't have the form filled out, you just can't participate). If you have an appointment for a physical please indicate the date of that physical:

15) Are you interested in being a team captain this year? If so why? What would make you a good captain?

16) Have you taken a Concussion Test at Liberty?

Yes
No