Las Cruces ROadrunner Track club registration
- Athlete Name*
First and Last Name _________________________________________________
Gender * male female
Month, Day, Year _______________________________
2014-2015 Grade Level * _________________________
Street Address * (Your athlete's USATF card will be mailed to this address).
Zip Code *
High School *
Please indicate the public high school for which your home address is zoned. This is strictly informational, and has no bearing on whether your athlete does or will attend school there.It also has no bearing on whether or not an athlete may compete with Roadrunner Track Club.
Parent 1/ Primary Contact *
Email * _________________________________________
Parent 2/ Second Contact
Attendance Policy *
Roadrunner Track Club has an attendance policy to ensure that athletes receive adequate training to make progress and compete safely. Four weekly practices will be offered, athletes are expected to attend 3 per week (2/wk for ages 12 and under). Incidents of vacation and illness will be excused. Will your athlete be able to meet the weekly attendance policy?
- yes no, this will be cleared with Coach Hanson or Coach Grays
Release of Liability *
I understand that track and cross country are physical sports with an inherent risk of injury. I hereby agree not to hold Las Cruces Roadrunner Track Club or USA Track and Field, nor any of it's coaches, officers or volunteers liable if my child becomes injured during or in route to a club sponsored practice, activity or event. In the event that my child becomes ill/injured, I/we hereby grant permission for a qualified medical professional to render such needed treatment to my/our child as said medical professional deems necessary under the circumstances. By signing my name in the below I affirm the above statements.
Primary Care *
athlete's primary care provider and insurance company
- Please print, complete and bring to practice