New Athlete Form (Athlete Version)

 

Please fill out this form as completely as possible.  
YOUR LISTING IS FREE!
PART 1: BASIC ATHLETE INFORMATION
First Name:
Last Name (surname):
I am: Active
Inactive (but should be contacted for 2007)
Retired
Citizen of: 
Date of Birth: ,
City/State of Residence (for locating athletes with no address published):
Competitive Team:
College Competed for (if any):
Athlete Website:
PART 2: PRIMARY CONTACT - (for publication)

The information provided here will be published in the Directory as your primary contact. If you are using an agent or coach as your primary contact, enter his name, address and phone here. If you are the primary contact, enter "self" on the "Name" line and follow with whatever address and/or phone information you wish to appear in the Directory.

Name of Primary Contact (enter "self" if you are the primary contact):
Complete Address (Include full street address, city, state, zip, country):
Phone:  
Fax:
Email:
PART 3: SECONDARY ADDRESS - (for publication)

The information provided below will be published in the Directory as your secondary contact. If you have no secondary contact, enter "none" in the Name of Secondary Contact field.

Name of Secondary Contact:
Complete Address (Include full street address, city, state, zip, country):
Phone:  
Email:
PART 4: MAILING LIST CONTACT - (NOT FOR PUBLICATION)

The information provided below will be NOT be published in the Directory. It is for Road Race Management's mailing list for the 2008 Directory. If the address you want for the Directory Mailing List is the same as what appears in the Primary or Secondary contact, enter "same as primary contact" or "same as secondary contact" on the Name line; if it is different, list your address, phone, and email here. (Remember, none of the information here will be published.)

Name:
Complete Address:
Phone:  
Email:
PART 5: COMPETITIVE DATA

Please provide information regarding your race performances. Road times must be exact to the second (round up tenths of seconds). Indicate track times with a "t" after the time; altitude times with an "a" after the time. PRs set after information is submitted may be phoned in to 301-320-6865; faxed to 301-320-9164; or emailed to directory@rrm.com. 

PART A: LIFETIME PERSONAL RECORDS
Time Name of Race Year
10k:
Marathon:
Other (optional):
Other (optional):
PART B: 3-YEAR PERSONAL RECORDS -- Fastest Performances Since JAN. 1, 2004
Time Name of Race Year
10k:
Marathon:
Other (optional):
Other (optional):
PART 5: CAREER 
Please list any accomplishments below, including Race Name, Time, Finish Place and Year for all race results you include. All or some of the material supplied here (including or supplemented by recent results) will be used by the editors in preparing the 25-word "Career" section. If you prefer, you may email your resume to pstewart@rrm.com or fax it to Phil Stewart at 301-320-9164.

I Prefer to Email my resume to pstewart@rrm.com   (Click here to send the email now)    
I Prefer to Fax my resume to Phil Stewart at 301-320-9164
My Career Highlights Are Listed Below: 
PART 6: INFORMATION ON SUBMITTER 
We may need to contact you if we have questions on the information you have provided. Please supply below your name (or agent code) and a phone number or email address where you can be reached. We will not use this information for any other purpose than to contact you regarding questions on your listing.
Your Name:
Your Phone:
Your Email:

Do you receive free equipment or more from a running shoe or apparel company?
YES         NO
If YES, from which company:

Check here if you would be willing to express your views on athlete concerns for publication in Road Race Management Newsletter