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
Athlete First Name
Athlete's Age by the END of 2019
Parent's Phone Number
Beginner (New to Track and Field)
Has participated in a school Track and Field team
Has participated in a club Track and Field team
Has qualified/participated in Junior Olympics
Has medaled at the Junior Olympics
How did you hear about 365?
From Coach Dre
From the 365 Track Club Website
From a current 365 Family
From a flier/handout
We are a current 365 Family
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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