Mid-West Meet of Champions-TEAM MICHIGAN Student-Athlete Personal Info Sheet Withington Stadium - Jackson High School, Jackson, MI Print out a blank copy of this form, click here! Name: Home Address: Home Phone: Height: Weight: Grad Class: Age: email: School: School Address: School Phone: Coach: Top 5 Times, Heights or Distances EventMark Meet Date 1 2 3 4 5 Related Events(if applicable) EventMark Meet Date EventMark Meet Date 1 2 3 Relay Splits(if applicable) 400 800 1600 3200 List the Major Meets you will be in between the Regional and the Individual State Meet MeetLocationDate 1 2