Triangle Champion Track Club 2021 Outdoor Season
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Athlete's First Name *
Athlete's Last Name *
Athlete's Date of Birth *
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Age at the end of 2020 *
Gender *
Former Triangle Champion Member ? *
Participated in which of the following
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Athlete(s) allowed to travel and participate with TCTC club sponsored competitions: *
USATF Membership (if applicable)
AAU Membership Number (if applicable)
Address
City
State
Zip
Parent or Legal Guardian (Mother)
Telephone ( Home)
Telephone ( Work)
Telephone (Cell)
Email(Mother)
Parent or Legal Guardian (Father)
Telephone ( Home)
Telephone(Work)
Telephone (Cell)
Email(Father)
Name of Person To Notify Other than Parent or Guardian In Case of Emergency *
Emergency Contact-Cell number *
I understand and agree to the terms of the registration fee *
Please select payment method *
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