Performance Submission Form
2005 outdoor DyeStat Elite
Email to John Dye at [email protected]

Athlete

Required

1. Full Name:
2. Gender:
3. Graduation year:
4. School:
5. City and state of school:

Desired (optional)

6. Athlete street address:
7. Athlete city, state, and zip:
8. Athlete email address:
9. Athlete phone number:
10. Athlete birthdate:

Performance

Required

11. Date:
12. Name of Meet:
13. Location of Meet:
14. Event:
15. Place Finished Time:
16. Performance (minutes/seconds or feet/inches):
16a. Wind reading (200m or less, hurdles, and horizontal jumps):
17. Comments (FAT or handheld, significance of performance, etc):

Verification

18. Sender's name:
19. Sender's phone number:
20. Sender's email address:
21. Sender's relationship to the performance (athlete, coach, family, media, fan, etc):
22. How can this performance be verified? (web site preferred, or meet director, coach, media, etc. with phone number, email address, or URL as appropriate):

Privacy Notice
Personal information will only be used for the purposes of DyeStat rankings and news coverage. We will not disclose it to third parties without the athlete's permission