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Panther C Symbol Track and Field


Head Coach: Blackman Ihem  
Assistant Coaches: Orentheus Hutcherson  
  Arnold Brown  
  Ted Knighten  
  Shanika Brown  
Track Office: 909/652-6299 Fax: 909/652-6295


Prospect Questionnaire

The information provided in this form will be sent to the Chaffey College track & field office. Additional questions should be directed to the track office at 909/652-6299, or e-mail to theblack1@gmail.com. Thank you!

 

Last Name
  First Name
  Home Phone Number
  E-Mail Address
  Required
  Street Address
  City
  State
  Zip Code
   
  Birthplace (City and State)
  Birth Date
  Height
  Weight
   
  Planned Major
   
  High School
  High School Street Address
  City
  State
  Track Coach
  Track Coach Phone
   
  Graduation Month/Year
  PSAT Score
  SAT Score
  ACT Score
   
  Previous College Attended
  Street Address
  City
  State
  Track Coach
  Track Coach Phone
   
 
Events Competed in:
 
 
 
   




   
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