Adaptive Track & Field Clinic Feb 23

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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