365 Track Club - September 2019 Registration
If you are interested in training and competing with 365 Track Club for the month of September, please complete this survey. Registration fee is $130. Practices will be on Saturday mornings (9/7, 9/14, 9/21, 9/28) at 11 AM. Location to be announced.
Athlete Last Name *
Your answer
Athlete First Name *
Your answer
Athlete's Age by the END of 2019 *
Athlete's Birthdate *
MM
/
DD
/
YYYY
Athlete's School *
Your answer
Parent's Name *
Your answer
Parent's Email *
Your answer
Parent's Phone Number *
Your answer
Experience *
Required
How did you hear about 365? *
Required
By selecting "Yes" and submitting this form, I hereby agree to waive the 365 Track Club, SMSD, the coaches, volunteers, and board members from any liability, claims, judgments, or demands for damages incurring while my child is practicing or competing with the 365 Track Club. I understand that in the event of an emergency, every effort will be made to contact me. Should I be unavailable and my child need emergency medical/surgical treatment, I hereby give my permission to the physician selected by the coaching staff to secure proper treatment, to hospitalize, order injections, anesthesia or surgery for my child as named on this registration form. *
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