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Maryland Blaze Track Club Contact Form
Thank you for your interest in Maryland Blaze Track Club. Please fill out the entire form.
* Indicates required question
Email
*
Record my email address with my response
Athlete Full Legal Name
*
Your answer
Athlete Date of Birth
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Phone Number
*
Your answer
Events Interest (Novice Athlete)
Sprints
Endurance
Race Walk
Throws
Jumps
Muli-Events (Tri, Pent, Hep, Dec)
Event Participated (Experienced Athletes)
Sprints
Endurance
Race Walk
Throws
Jumps
Muli-Events (Tri, Pent, Hep, Dec)
Which seasons are you most interested in?
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Cross Country
Indoor Track
Spring Track
Summer Track
Don't know
Experienced Athletes Performances (athletic.net, milesplit.com etc. Please list or provide URL to athlete profile.
Your answer
Experienced Athlete Current Athlete Team (Note if "Unattached")
Your answer
For Experienced Athlete:
Maryland Blaze Track Club does not honor Club transfers without knowledge of the current team. You must contact your current team and inform them of your interest before we contact them to confirm a mutual agreement to transfer. Do you understand and agree to this requirement? (If no, your athlete will not be considered eligible to transfer)
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Yes
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How did you hear about us
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Social Media
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Family or Friend
Current Member on the Team
Coach
Word of Mouth
Internet Search
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If you attend an Information session, was the content helpful?
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Any general feedback or suggestions for the club?
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If you are a parent filling out the form please provide your name. If your number and email is different above please note that here.
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