Home of the Mavericks • 701 E. Butler Rd. • Mauldin, SC 29662 • 864-355-6500 • Fax: 864-355-6657

Cross Country/Track Roster Form

Use the form below to send the required information to Coach Howell. Students who fail to submit this information will not be allowed to participate in meets. Email Coach Howell with questions.

1. First Name2. Last Name
3. Home Phone Number
(xxx-xxx-xxxx)		4. Student Date of Birth
(xx-xx-xxxx)
5. Home Address
6. Student's Cell Phone Number
(xxx-xxx-xxxx)		7. Mother's Cell Phone Number
(xxx-xxx-xxxx)
8. Father's Cell Phone Number
(xxx-xxx-xxxx)
9. Student E-mail
Must be a valid e-mail address.		10. Parent E-mail
11. Parent Names (include last names)
12. What grade will you be in this season?13. Middle School You Attend (if applicable)

Click "Submit" to send the information to Coach Howell.