Cerritos College Men's Cross Country/Track & FIeld Questionnaire

Email Secondary Email

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Email address *

Name *

Address *

City *

State *

Zip Code *

Home Phone Number *

Cell Phone Number *

Height/Weight *

Last High School Attended *

Year Graduated

City

State

Do you have a Cerritos College Student ID Number? If so, please provide *

Cerritos Student ID Number

Cross Country Times *

Include best times and distances

Track & Field Events (if applicable)

Include best times or distances

Academic/Athletic Accomplishments

CIF Qualifier, All-League, etc.

You Tube link (if applicable)

* required field