7-18 Registration Form

REGISTRATION FOR OUTDOOR TRACK SEASON IS $250 PER ATHLETE. REGISTRATION IS DUE APRIL 15, 2023 FOR ATHLETES.

do not sign up if you are not prepared to pay the fee. Your application will be deleted within 24 hours.

ages 7-18 application

* Indicates required field

Athlete First Name *

Athlete Last Name *

Gender *

Female Male

Birth Month *

Day *

Birth Year (Age on 12/31/2023) *

Home Number *

Cell Number *

Email *

Street Address *

City *

State *

Zip *

Guardian First Name *

Emergency Contact First Name *

Guardian Last Name *

Emergency Contact Last Name *

Phone Number *

Emergency Contact Last Name *

Phone Number *

Insurance Provider *

Physical on file *

Yes No

Primary Physicians *

PERMISSIONS/AUTHORIZATIONS (PLEASE READ CAREFULLY)

CONSENT FORM

I agree to let my son/daughter run with WESTSIDE TRACK CLUB. My son/daughter is in good physical health and has no physical limitations that would make track and field activities a risk to his/her life or health to the best of my knowledge.

AGE

I understand that track team members should be between the ages of 7 and 18 years of age, and that in accordance with AAU rules, my child’s competition group will be based on the age he/she will be on December 31 of the track year. (Exception: Those who are now 18 years. Must still be 18 on the last day of the National Meet; usually the first week in August)

MEDICAL RELEASE

I understand that all possible care will be taken to prevent accidents and injuries. I will not hold Westside Track Club, its coaches or agents liable for any injuries with Westside Track Club. In case of illness or accidental injury, I authorize Westside coaches (or agents acting on behalf of Westside) to seek whatever medical treatment necessary. I understand that attempts will be made to reach the parent/ guardian for all serious injuries. However, if needed for timely treatment, I authorize Westside surgical treatment to be rendered to the minor child, __________________________

Athlete's Name for Medical Release *

supervision of and on the advice of any physician, dentist, or surgeon.

TRAVEL

I understand that my child may participate in several track meets over the summer and that some travel may be involved. It is the responsibility of the parent and athlete to provide transportation for each meet. Accordingly, I hereby give permission for my child to travel with Westside on any track trips during the track season if i am not able to attend. In consideration of the advantages of these trips, I agree that Westside Track Club, its coaches, and the driver and/or owner of the vehicle used for the trips shall be exempt from liability for damages for bodily injury or property damage that might occur during the trip, except to the extent of insurance liability as provided by law. I further understand that I am responsible for all costs associated with such travel.

MONETARY COMMITMENTS

I agree to pay all fees associated with the track season by the date stated. I understand that if the fees are not paid in full by the stated deadline, my child will not run. You are responsible for all track meet cost and uniform rental fee.

By signature below, I acknowledge that I have read and understood the above information. I agree to return this form as well as one copy of my child’s birth certificate and proof of physical exam (done in the last 12 months) to Westside Track Club no later than December 31, 2023.

Birth Certificate *

Max file size: 20MB

Physical *

Max file size: 20MB

Application Consent Form Signature *

Date (MM/DD/YYYY) *

Registration is not complete until payment is received. You will be redirect to the payment page after clicking the submit button.

Submit

REGISTRATION FOR OUTDOOR TRACK SEASON IS $250 PER ATHLETE. REGISTRATION IS DUE APRIL 15, 2023 FOR ATHLETES. ​do not sign up if you are not prepared to pay the fee. Your application will be deleted within 24 hours.​ages 7-18 application

REGISTRATION FOR OUTDOOR TRACK SEASON IS $250 PER ATHLETE. REGISTRATION IS DUE APRIL 15, 2023 FOR ATHLETES.

do not sign up if you are not prepared to pay the fee. Your application will be deleted within 24 hours.

ages 7-18 application