Pearson's Distance Project
Junior Olympic Program Application
Athlete Questioner!


Please send application to jrap85@msn.com or
Joel Pearson
516 Tremont Ave #203
Bellingham, WA 98226

Name:
Age:
Date of Birth:
Street Address:
City; State:
Zip code:
Email:
Phone #:

Height:
Weight:
Location of Birth:
Ethnic Background:

Grade School:
Middle School:
High School:


When would you like to start???

Running Portion:

Running Personal Bests: (With Event location and date)
400:
800:
1600:
3k/3200:
5000:
Other:

Please write a short description or two on each of the following questions:

Any Parental concerns??

1) History of activities. (Running / Non running related)
2) How you started running:
3) Current Training:
4) Goals for running; time and accomplishments:
5) Events you would like to pursue?

A brief description of your current health
A brief description of your time commitments
A brief description of any current medicine (Not required)
A brief description of your Diet/Nutrition
A brief description of your overall body strength and fitness
A brief description of your outside running training.
A brief description of your last two months of training.

(Copy of Bylaws will be sent to you soon)