HUMBLE PRIDE TRACK CLUB REGISTRATION
Registration is required for all athletes. A separate registration form is required for each child. Please remember to email athletes birth certificates to HumblePrideTrackClub@gmail.com to complete the registration process. Please be advised, we are located in Indianapolis, IN.
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Athlete's Name *
Athlete's Date of Birth *
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Athlete's Gender *
Athlete's Address *
Athlete's School Name *
Athlete's Grade for the 2024 -2025 school year *
Please include a registration option.
Clear selection
Please select events you would like to compete in. (Age groups under 13 years old are eligible to compete in 3 events. Age groups 13 and up are eligible to compete in 4.) *
Required
Parent or Guardian Name *
Parent or Guardian Email *
Parent or Guardian Phone number *
Athlete's Uniform Size (top) *
Athlete's - Health Insurance - Provider
Athlete's - Health Insurance - Group Number
Athlete's - Health Insurance - Phone Number
Athlete's - Health Insurance - Insured Name
Athlete's - Health Insurance - Health Concerns
Athlete's - Health Insurance - Known Allergies
Emergency Contact - Name & Relationship *
Emergency Contact - Phone *
Emergency Contact - Email *
By signing below, I, a prospective member of the Humble Pride Track Club, agree to abide by the rules of Humble Pride, AAU Bylaws, Operating Regulations, and competition rules for my level and category of membership. *
Date of Signature *
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