A Championship effort!

The only effort that is accepted.

                                           2010 Questionnaire

Name: _________________________________________

Grade:___________    

Age: ___________

Address: _______________________________________

City: _____________  

Zip code: _________

YOUR CELL PHONE: _________________________

YOUR HOME PHONE: _________________________

Parents Names: ________________________________________

Phone Number: _______________________

Phone Number: ____________________________

Date of birth____/_____/______   

E-Mail: _________________________________________________

Fall Sport Played / Level: ______________________

Winter sport Played / Level: ____________________

1^st Block: ____________________________ Teacher: _______________________

2^nd Block: ____________________________ Teacher: _______________________

3^rd Block: ____________________________ Teacher: _______________________

4^th Block: ____________________________ Teacher: _______________________

Seminar Teacher: _________________________

THREE BASIC RULES…

Do what is right. Do your very best. Treat others like you'd like to be treated

Can your teammates and Coaches Trust you?   Yes   or    No

Are you Committed to Excellence?   Yes   or    No

Do you care about your teammates and Coaches?   Yes   or    No

Do you want to get better?   Yes   or    No

IF you are selected for the team, Will you be at Spring Break Practice?   Yes   or    No

Who is your Favorite Teacher in the High School and Why?

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

When you are having a bad day; name one person you talk to and why…

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

When you leave Corunna how do you want people to talk about you?

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

PLEASE RETURN BY FRIDAY FEBRUARY 19^th

DO NOT FOLD THIS PAPER