Viking Track Club
Registration form for Viking Track Club, grades 5th-8th

Key dates:
4/11- Begins
4/21- No track (SLC marathon)
5/12- Christ the King Track Meet @ Judge Memorial HS Track

Practice times:
Wednesday: 3:30-4:45 (4/11, 4,18, 4/25, 5/2, 5/2)
Saturday: 8:15-9:30 @ Judge Memorial HS Track (4/14, 4/28, 5/5)

Email address *
School Attending in 2017-2018 *
First Name *
Your answer
Last Name *
Your answer
Gender *
Grade Level *
Athlete Shirt Size *
Parent/Guardian #1 (First and Last Name) *
Your answer
Parent/Guardian #1 (Phone) *
Your answer
Parent/Guardian #1 (Email) *
Your answer
Parent/Guardian #2 (First and Last Name) *
Your answer
Parent/Guardian #2 (Phone) *
Your answer
Parent/Guardian #2 (Email) *
Your answer
Emergency Contact #1 (First and Last Name) *
Your answer
Emergency Contact (Email) *
Your answer
Emergency Contact (Phone) *
Your answer
Relation to Student Athlete *
Your answer
Volunteer Coaching Availability at Practice (Wed: 3:30-4:45p) *
Volunteer Coaching Availability at Practice (Saturday: 8:15-9:30a) @ Judge Memorial *
Sportsmanship and Expectations: Both sportsmanship and expectations are to meet those of the athletes classroom and school expectations. Please go over Track Club expectation form with your athlete. *
Athlete is Healthy & Fit To Participate in Track Club *
Relevant Medical Issues? Contagious Diseases? Current Medications? *
Your answer
Participation Fee of $65 (Paid to the front office @ St. Vincent de Paul School by 4/9/18) *
Sponsorship for another student or Donation to Track Club program
Your answer
Electronic Signature *
Your answer
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