Savannah State Athletics

CROSS COUNTRY
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Phone: 912-351-3506
FAX: 912-353-5287
Ted Whitaker, Head Coach
whitaket@savstate.edu

Last Name:		First Name:
Gender:	Male Female
Date of Birth:		Graduation Date:
Home Address:		City:
State:		Zip Code:
Home Phone:		* Email Address:
Parents:

High School Name:
High School Address:		City:
State:		Zip Code:
High School Coach:		Coach's Phone:

ACT:		SAT:
GPA:		Grad Date:

Have you filed with the Clearinghouse?		Yes No
Height:		Weight:

Event:		Best Performance:
Meet:		Date:
Event:		Best Performance:
Meet:		Date:
Event:		Best Performance:
Meet:		Date:
Event:		Best Performance:
Meet:		Date:

Anything you would like us to know about yourself:

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