Awesome Power Track Club Registration Form
Athlete (print name) |
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Date of Birth/Age/Sex |
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School/Grade/GPA |
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Address/Telephone |
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Birth Certificate (check if attached) |
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Emergency Contact I(include name, address, telephone number(s), relationship to athlete) |
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Emergency Contact II(include name, address, telephone number(s), relationship to athlete) |
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Doctors name, address and telephone |
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Allergies |
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Doctor's signature - * Indicating this athlete is physcially sound to participate in track and field |
*By signing below, I give my child permission to participate in the sport of Track & Field with Awesome Power Track Club
Parent/Guardian Print Name ________________________ Date ______________
Signature _________________________