2024 Golden Belt Running Project (GBRP)

Youth Enrollment Form

Athlete’s First Name _______________________        Last Name  __________________________

Address ___________________________________________________________________________

City  ________________________        State ___________        Zip __________________

Home Phone _______________________________

Gender (M) or (F) ______________________        Birthday (m/d/yr) ________________        Age ________

Current School ___________________________________        Grade __________________

Name of Parents or Guardians:

Father _____________________________________        Cell Phone _________________________

Mother ____________________________________        Cell Phone _________________________

Contact Emails (print Clearly)        Father: ___________________________________________________

                                Mother: __________________________________________________

Medical Information:

Doctor’s Name ________________________________________  Phone  _________________________

Medical Insurance _______________________________________________

Policy/Membership # and Policy Holder:  ___________________________________________________

The Golden Belt Running Project (GBRP) is designed to introduce youth athletes to track and field training, competing and to provide an experience that is fun, competitive, social, and informative about the sport.  Our success will be largely due to the tremendous support from parents volunteering their time to make this an experience to be remembered by our children.  Please consider where you may be able to lend a hand.  (Check areas of interest)

Coaching/Practice:        Father: __________  Mother: ___________

Meet Helper:                Father: __________  Mother: ___________

HOLD HARMLESS STATEMENT:

In consideration of the Golden Belt Running Project (GBRP) allowing my child to participate in its track and field program and the practices, meets, and events associated with this program, I intend to be legally bound for myself and I intend to legally bind my child by executing the agreement.  I hereby, for myself and my child, my heirs, executors and administrators waive, release and forever discharge any and all rights, claims, or causes of action for any claims, injuries, or damages that I or my child may have against the GBRP, it’s coaches, board, parent volunteers, or any other person, organization, or entity assisting with GBRP in its track and field program, including all municipal and governmental agencies whose property is used by GBRP.  The purpose of this agreement is to assure GBRP… that in the event my child is injured or damaged as a result of his/her participation with the GBRP, I and/or my child will not hold the GBRP responsible or liable for any claims, injuries or damages that I or my child may suffer in traveling to, participating in, and returning from any GBRP practices, meets, and activities.

Parent Signature: _____________________________________        Date: ______________

Parents’ Authorization to use child’s photograph on social media/internet or any website:

I grant Golden Belt Running Project the authority to use photographic images of my child involving his/her participation in GBRP practice, meets, and activities on social media/internet or any website to promote the advancement of the GBRP. YES __________  NO ________________

CODE OF CONDUCT AGREEMENT

ATHLETE: Arrive at practice ready to listen, learn and work to the best of their ability

        1. Be supportive of all the athletes on the GBRP team.

        2. Show respect to all.

        3. Learn the rules and always compete by the rules.

        4. Use only appropriate language and show sportsmanship

        5. If you’ve tried your best, you are a winner.

        6. Respect all the coaches and officials at all times

        7. Have FUN!

ATHLETE SIGNATURE: __________________________________________________

Parents: Respect and support all coaching decisions and training programs

        1. Model Good Sportsmanship.

        2. Place your child’s well being above the desire to win.

        3. Support coaches and officials working with your children & the Coaches training programs.

        4. Show respect and courtesy to all athletes, coaches, officials, and others.

        5. Participate in the lives of your children. Volunteer.

Parent Signature: ______________________________________________________

ZERO TOLERANCE POLICY:

To ensure the safety of our youth, the GBRP enforces a zero tolerance policy towards behavior not suitable for team athletics.  While coaches will teach and supervise practices and activities, athletes are responsible for safe and appropriate behavior.  It is expected that athletes will come to practice with a willingness to learn and a positive attitude. If there is a problem, the athlete will be asked to sit out.  Coaches have the authority to expel any athlete for inappropriate behavior (i.e fighting, bad language, poor sportsmanship, etc.)