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

-or-

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

Release Form: https://goo.gl/slgLKL

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.
Your answer
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