2010 Membership application

 

WAIVER, RELEASE, AND STATEMENT OF PHYSICAL CONDITION

(MUST BE SIGNED AND TURNED IN AT FIRST DAY OF PRACTICE)

 

PLEASE COMPLETELY FILL OUT ALL FORMS!

(ONE PER ATHLETE)

 

ATHLETE INFORMATION
 
LAST Name:
FIRST Name:
MIDDLE Initial:
   
Address:      Apt #:
City:
State:
ZIP:
   
Home Phone Number:    (Example: 555-555-5555)
Athlete's Cell Phone Number:    (Example: 555-555-5555)
Athlete's Email Address:
May we post your contact information on the Precision Webpage?
   
Date of Birth:    (Example: MM/DD/YYYY)
AGE TODAY:
Male or Female:
US Citizen:
   

PARENT/GUARDIAN INFORMATION

(We will NOT post this information on the Internet.  It is for the benefit of Precision Track Club only!)
   
Parent/Guardian's Name(s):    
Relationship(s) to Athlete:
   
Home Phone:    (Example: 555-555-5555)
Mother's Work Phone:    (Example: 555-555-5555)
Mother's Cell Phone:    (Example: 555-555-5555)
Father's Work Phone:    (Example: 555-555-5555)
Father's Cell Phone:    (Example: 555-555-5555)
Email:
   
In Case of Emergency, Contact:
Emergency Contact Phone:    (Example: 555-555-5555)
   
Please list all known allergies and/or medications that the coaching staff should be made aware of, in case of emergency:

   

ATHLETE UNIFORM INFORMATION
   
T-Shirt Size:   (Everyone)
Sweatpants Size:   (Everyone)
OPTIONAL Hooded Sweatshirt Size:   (Additional Charge - 35.00)
   

We will only order UNIFORMS for those who plan to compete in at least one official meet during the 2010 season.

Are you planning to travel and compete this summer with Precision Track Club?  

 

If you do NOT know your uniform sizes, we will have samples available at the track for fitting purposes.

Are you sure of your correct uniform size?  

   
IF YOU ANSWERED "NO" TO EITHER OF THE ABOVE TWO QUESTIONS, PLEASE SKIP THIS SECTION!!!
   
Sports Bra (Girl's Tankini) Size:   (All Competition Girls)
Sports Brief Size:   (All Competition Girls)
   
Track Jersey Size:   (All Competition Boys)
Compression Shorts Size:  (All Boys - Comp. short - Adult sizes only, running shorts - youth sizes)
   
   

OTHER INFORMATION
   
Where did you attend school during the 2009-2010 year?
Are you new to Precision Track Club?
If YES, how did you hear about us?
If NO, how many years have you been with Precision Track Club?
   
Please check each event in which you are interested:
   
 

 

 

 

 

 Sprints Long Jump Shot Put  
Hurdles Triple Jump Discus  
Middle Distance High Jump Javelin  
Distance Pole Vault Multi-Events  
       
 

I DON'T KNOW!

 

  

 

 

 

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