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USATF Junior Disabled Championships Registration Form
Please fill out the form below if you wish to participate. Waiver forms will be sent to the email address provided below. These waiver forms must be handed in to the registration table the day of the meet.
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* Indicates required question
Athlete's Name
*
Your answer
Gender
*
Choose
Male
Female
Street Address
*
Your answer
City, State, Zip Code
*
Your answer
Home Phone
*
Your answer
Email Address
*
Your answer
Athlete's Date of Birth (MM/DD/YYYY)
*
Your answer
Team Name (If applicable)
Your answer
Age Group
*
Choose
Male 10-12
Female 10-12
Male 13-15
Female 13-15
Male 16-18
Female 16-18
Disability Classification - T is the Track event classfication (running events), F is the Field event classication (jumps, throws) - If not known, check the last box and answer the next question
*
Classes T11-13 (or F11-13)
Class T20 (or F20)
Classes T31-38 (or F31-38)
Class T40 (or F40)
Classes T41-42 (or F41-42)
Classes T43-44 (or F43-44)
Classes T45-46 (or F45-46)
Class T51 (or F51)
Class T52 (or F52)
Class T53 (or F53)
Class T54 (or F54)
Not Sure
If answered "Not Sure" to above question, can you please describe in 1-2 sentences the disability?
Your answer
What events do you want to compete in? Check Multiple if You Wish
*
100 Meter Dash
200 Meter Dash
400 Meter Run
800 Meter Run
1500 Meter Run
Shot Put
Discus
Long Jump
Javelin
Required
Does your athlete meet the minimum time standards with a recorded time from the last 2 years?
*
Yes
No - But I will make an appeal (see next question)
If the times/throw distances are on-hand, can you please list out the times/distances for events the athlete is competiting in? If, not leave the question blank
Your answer
If answered the above with "no", give the justication for why the athlete without the recorded time standard should compete in the USATF championship meet.
Your answer
Are you a USA Track & Field Member? Note that ALL competitors in the meet must be members of USA Track & Field
*
Yes
No - But I will register onine before the start of the meet
No - But I will register the day of the meet
If you are a member of USA Track & Field, what is your USA Track & Field membership number? You can look it up by following the link -
https://www.usatf.org/membership/help/number.asp
. If you are not a member, leave the question blank
Your answer
Would you be interested in booking a complementary room at the Inns at Colonnade (4 West University Parkway, Baltimore, Maryland)? If you answer "yes", you will be emailed shortly about whether or not a room is available.
*
Yes
No
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