365 Track Club - October 2018 Registration
Please complete this once for for EACH individual athlete that will be participating.
Athlete Last Name
Athlete First Name
Athlete's Age by the END of the calendar year
Athlete Grade Level
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
What events is the athlete interested in?
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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