BMS_CC_2020_registration_form
I'm still working on how to manage cross country this season, but I am hoping it will be possible. We'll have to change some of our usual routines and likely will need more parent help at practices. Please complete this form if you have a runner or runner-to-be who might be interested. -- Chris Welsh (
cwelsh@utk.edu
)
* Required
Athlete info:
Athlete's name?
*
Your answer
Gender (male/female)
*
Male
Female
Required
Date of birth:
MM
/
DD
/
YYYY
Age?
Your answer
Grade?
*
Your answer
Running history?
brief info to help coaches know what your runner has done athletically in the past
Your answer
What high school are you zoned for?
Your answer
Parental contact info:
Mother's name:
Your answer
Father's name:
Your answer
Home street address:
*
Your answer
Primary e-mail address
*
Enter preferred e-mail contact here
Your answer
Alternate e-mail address
Enter additional e-mail address(es) if you want team communications sent to more than just the primary e-mail
Your answer
Preferred phone number
*
Provide primary phone number coach should call to reach you
Your answer
Alternate phone numbers
provide additional phone numbers, note whether home, work, or cell
Your answer
Emergency contact (other than parent):
Name?
*
Your answer
Relationship?
Your answer
Phone number
*
Your answer
Family physician?
Your answer
Physician phone #:
Your answer
Medical History:
Medical history: date of last tetanus shot?
best guess is okay
Your answer
Date of last physical exam?
Your answer
Allergies?
*
Are there any allergies coaches should be aware of?
Your answer
Any current medications coaches should be aware of?
*
Your answer
If your runner has asthma, does he/she have an inhaler? What type?
Your answer
List any medical conditions that may limit or modify participation:
*
Your answer
Questions? Contact Chris Welsh at cwelsh@utk.edu
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
