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CLUB REGISTRATION


CLUB REGISTRATION

Summer Registration Form for 2020

Will Open on May 17, 2020 - Please Check back!

Track and Field Experience

Elementary School Track *

 Choose one No Experience 1-2 years 3-4 Years 5-6 Years 

Elementary School Name

Middle School Track *

 Choose one No Experience 1-2 Years 3-4 Years 5-6 Years 

Middle School Name

High School Track *

 Choose one No Experience Freshman Track Junior Varsity Track Varsity Track 

High School Name

AAU *

 Choose one No AAU Experience 1-2 Years 3-4 Years 5-6 Years 

USATF *

 Choose one No USATF Experience 1-2 Years 3-4 Years 5-6 Years 

Current School Name *

High School Graduation Year *

Primary Contact Information

Parent or Guardian # 1 *

First

Last

Parent or Guardian # 2 *

First

Last

Phone Number #1 *

Phone Number #2 *

Parent or Guardian Email #1 *

Parent or Guardian Email #2

Athlete's Phone Number 

Athlete's Email


EMERGENCY CONTACT INFORMATION

Name # 1 *

First

Last

Relationship *

Phone Number *

Name # 2 *

First

Last

Relationship *

Phone Number *

Medical Information 

Doctor's Name

First

Last

Doctor's Phone Number

Healthcare Insurance Name

Medical Condition(s)

Known Allergies *

Colorado Springs Striders Release Form

I, the minor’s parent(s) and/or legal guardian(s), hereby grant the minor permission to participate in all Colorado Springs Striders Track & Field Club Team activities, including clinics, fundraising activities and post-season events not specifically scheduled. I acknowledge that these activities may require travel in various modes of transportation, with accommodations and meals in various establishments.

I acknowledge that the minor participates in all Colorado Springs Striders Track & Field Club Team activities at his/her own risk. In consideration of your permitting him/her to participate, I hereby accept any inherited risk of play (training and competition), participation, or travel, and I hereby release the Colorado Springs Striders Track & Field Club, USATF Colorado Association, USATF, and the officers, coaching staff, sponsors, volunteers, officials, employees, agents, affiliates, heirs, successors, and assigns of each from any responsibility that you or they might have regarding the health and physical condition of the minor during his/her participation.
‚ÄčOn behalf of myself, the minor, our heirs, executors, and assigns, I further release and forever discharge all of the above individuals and entities from any and every claim, demand, right or cause of action either in law or in equity arising from the minor’s participation in all activities. The undersigned agrees to indemnify and hold harmless all of the above individuals and entities from any claim made in derogation of this release.

Additionally, I have found and read the COLORADO SPRINGS STRIDERS TRACK & FIELD CLUB RULES AND PROCEDURES  as found on the website under Our Program. By entering first and last name in the boxes below, I attest to this being a formal signature of the Colorado Springs Striders Release form. 

Participant’s Name *

First

Last

Date (mm/dd/yyyy) *

Parent or Guardian Name *

First

Last

Date (mm/dd/yyyy) *

For Coaches Use Only

Payment # 1

 Choose one No Yes Pending 

Payment #2

 Choose one No Yes Pending 

Submit