South Carolina
Shrine Bowl Game Ball Run
2011 Runner Application
RUNNER NAME________________________________________________________
ADDRESS________________________________________________________
________________________________________________________
HOME PHONE________________________________________________________
CIRCLE ONE
MALE FEMALE
2011 PR prior to State: ____________________
HOODIE SIZE
S M L XL
________________________________________________________________________
SCHOOL NAME______________________________________________________
ADDRESS_______________________________________________________
_______________________________________________________
PHONE_________________________FAX_________________________
SCHOOL CLASSIFICATION
A
AA
AAA
AAAA
COACH’S NAME______________________________________________________
HOME ADDRESS______________________________________________________
______________________________________________________
HOME PHONE___________________OFFICE PHONE___________________
STATE CROSS COUNTRY MEET FINISH TIME____________________________
(TO BE FILLED IN MY GAME BALL RUN COMMITTEE)
Return this form to:
Eric Cummings-Riverside HS
864-355-7898 fax
ercummin@greenville.k12.sc.us
794 Hammett Bridge Road, Greer, S.C. 29650
DEADLINE IS Tuesday, Nov. 1, 2011
The team will be based on performances at the SC State CC Championships on Nov. 5.
You must be a Senior. You must compete and be UNDER the performance standards to be
considered. [Boys- sub 17:00 Girls-sub 20:00]
Application must be turned in by November 1, 2011, 5 p.m. to above contact.