Mead Track & Field Club Registration Form
NXR 2019 and Winter 2020
Athlete's Last Name *
Athlete's First Name *
Email Address *
Phone Number *
Date of Birth (MM/DD/YYYY) *
Gender *
T-Shirt Size *
Waiver and Signature
Please sign the release below with an e-signature.


You can print off the release form linked below and return it to Coach Reynolds.

Release Form:

I understand the legal consequences of signing this release form, including (a) releasing the club from all liability on my and the Participant’s behalf, (b) promising not to sue on my and the Participant’s behalf, (c) and assuming all risks of the Participant’s participation in this Activity, including travel to, from and during the Activity. I allow Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of Participant as described in this release form. I agree to be bound by the terms of this release form. I have read this release form, and I am signing it freely.
E-Signature (if participant is under 18, signature of Parent/Guardian) *
Please type your full name.
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