* 1. What is your first name?

* 2. What is your last name?

* 3. What year were you born?

* 4. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 5. Please provide a contact e-mail

* 6. What grade are you in?

* 7. If you have a visual or mobility impairment, check one or more boxes to tell us about it:

* 8. Have you competed on your school's Track & Field team before? (Indoor or outdoor)

* 9. Which Track & Field disciplines interest you?

* 10. If you are blind or visually impaired, will you bring a friend as a guide?

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