Please print and send to:
Sharon Harris
Public Relations
105 East Main St.
University of Delaware

Personal Information:

Name:
Major:
Date:
School Classification:
GPA:
Age:
Height:
Weight:
Shoe Size:
MaleFemale
School Adress:
Home Address:
City:
State:
City:
State:
Zip: School Phone: Zip:
Home Phone:
Parent's Full Name(s):
Email:

Medical Information:

Medical Insurance: Policy #:
List any prior injuries:(if none write none)
Any physical therapy required?(if none write none)
List any medication you are currently taking:(if none write none)
List any allergies:(if none write none)

Survey:

How did you find out about mascot tryouts?
Why did you come to UD?
Why do you want to be a part of the UD mascot program?
List your hobbies/skills:
What do you have to offer the mascot program?

Please sign:___________________________________________________ Date:_______________________