Mascot Application

Personal Information

Name:
Graduation Year: Date:
Age: Height: Weight: Shoe Size:
Male: Female:

School Address:
City: State: Zip:
Home Address: City: State: Zip:
School Phone:
Contact Phone:
School Email:
Parent's Full Name(s):

Medical Information

Medical Insurance:
Policy #:
List any prior injuries (if none write none):
Any physical therapy required?
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?: