2019 CALIFORNIA TRACK & FIELD TOUR APPLICATION
Please take a moment to fill out this application form for the 2019 California Track and Field tour.
Email address *
Full Name *
First and last name
Your answer
Address (Include City and Zip code) *
i.e 7 Waterloo Quay, Pipitea, Wellington 6011
Your answer
Mobile phone number *
Your answer
Home phone number *
*Please include region code with phone number i.e (03) 548 2241
Your answer
Email *
Your answer
Parent’s full name, e-mail, mobile and home phone # *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Birth Place (City & Country) *
Your answer
Gender *
School (specify school name) *
Your answer
School Year (2018) *
School Year (2019) *
Club *
i.e Auckland City Athletics club
Your answer
Coach's Email *
Your answer
Coach's Phone Number (home or mobile number) *
Your answer
Passport Number *
Your answer
Passport Expiry Date *
MM
/
DD
/
YYYY
Full Name On Passport *
Your answer
Event *
Required
Best Mark / Place of Performance / Date of Performance *
*Please enter event(s) you plan on competing in on the California Tour. Followed by your best mark, name of competition, place of performance as well as the date of performance where you're best mark was recorded: i.e. 100m: 11.75.3, Summer Series 2, Auckland, 06/02/2016
Your answer
Submit
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