Registration 2018
Email address *
Gender *
Required
Athlete's Last Name *
Your answer
Athlete's First Name *
Your answer
Age *
Your answer
Birthdate *
Your answer
School Athlete Attends *
Parent Contact #1 (Mom) *
Your answer
Parent Contact #1 (Email) *
Your answer
Contact Phone # *
Your answer
Parent Contact #2 (Dad) *
Your answer
Parent Contact #2 (Email) *
Your answer
Contact Phone # *
Your answer
Emergency Contact (Name & relationship) *
Your answer
Emergency Contact Phone # *
Your answer
Video/Picture Permission *
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the Student named above by a representative of Parkview Express. I also grant to Parkview Express the right to edit, use, and reuse said products for non-profit purposes including use in print, on the internet, and all other forms of media.
Required
Fundraising--participate or buyout? *
Due to costs associated with the track club, we ask that each athlete (multiple athletes in a family/10 per athlete) tries to sell 10 detergent items in our fundraiser. We will offer the fundraiser beginning Tues. Oct. 15-Mon. Nov. 30, so pickup/deliver can occur for your families before Christmas break.
Required
Parent-Permission (please enter one parent/guardian name) *
I understand that my son/daughter is registering to practice/compete in track & field for the 2017 spring outdoor season. By entering my name below, I am giving permission for my student-athlete to practice and compete for the Parkview Express Track Club. I also hereby release the Parkview Express, Parkview Track & Field, Parkview High School and GCPS and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
Your answer
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