Long Beach Sprinters YOUTH TRACK REGISTRATION

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1 Long Beach Sprinters YOUTH TRACK REGISTRATION Facebook: Long Beach Sprinters Youth Track & Field Head Coach: Scoey Peters 1

2 Registration USATF Long Beach Sprinters Club # # Athlete s Name: Date Of Birth: Gender: Street Address: City: State: Zip: What School District do you live in? Current School Athlete Attends: Grade: Father- First Name: Last Name: Home Phone: Cell Phone: Mother- First Name: Last Name: Home Phone: Cell Phone: ***Would you like both s listed about to receive updates about practice, club news and meets? Y / N USATF Membership: By signing below, I, a prospective member of USA Track & Field, agree to abide by the applicable USATF Bylaws, Operating Regulations and Competition Rules for my level(s) and Category(s) of Membership, Athlete and/or Parent/Guardian Signature: Date Athlete Photographs/Images: By signing below I understand and agree that Long Beach Sprinters has my permission to take and use my child s photographs or digital images for official Club purposes. Parent/Guardian Signature Date Club Use Only: DOB Verified Y N Date: Check: Med Rel: BC: USATF Number: USATF Age Group: 2

3 Long Beach Sprinters Emergency/Medical Release Form Parent Permission for Youth Participation I, (Parent/Guardian's Name) hereby give permission to my child (Child's Name) to participate in Training and/or Long Beach Sprinters Track activities and provide that any and all medical attention to be administered to him/her in the event of accident, injury, sickness, etc., under the direction of the person(s) listed below, until such time as I may be contacted. I also assume the responsibility for the payment of any such treatment. I understand that Long Beach Sprinters, USA Track & Field, nor any of the individuals involved listed below provide insurance to its participants. Further, I agree to indemnify and hold harmless Long Beach Sprinters and its Board of Directors and the other parties contained herein, their coaches and sponsors, and events from and against all claims, demands, losses, and liabilities of any kind arising out of or, in any way, connected with my child s participation in Long Beach Sprinters training and or track activities. This release is effective for the period of one year from the date given below. EMERGENCY MEDICAL CONTACT: ADDRESS: HOME/CELL PHONE: INSURANCE COMPANY: POLICY NUMBER: PHYSICIAN: ADDRESS: PHONE: KNOWN ALLERGIES/MEDICAL CONDITIONS: In case I cannot be reached, any of the following persons is designated to act on my behalf. Scoey Peters- Head Coach Debora Reid- Head Administrator Any designated LBS coach selected by the above individuals SIGNATURE (PARENT/GUARDIAN) DATE 3

4 Relay Team Rules and Regulations Each participant and parent will be required to follow all rules. No EXCEPTIONS. Relay members are determined by the COACHES based on the following criteria: runoff s, meet PR s, practice and meet attendance, dependability and availability, and most importantly, skill level at certain relay legs. Coaches will have the final say in determining teams. Runoffs will be held throughout the season to allow athletes to challenge to earn spots on the team, however, these results are subject to change based on the criteria listed above as deemed by the Head Coach. All relay members are required to attend practice on the set relay practice days. If they do not attend, the alternates may be used in the next track meet. Athletes need to be on time for practice everyday. We will hold a separate meeting with parents of members of relay teams during the season. I, (parent) and (athlete) have read the above rules and regulations and agree to follow them. We (Parent and athlete) fully understand and agree with these terms. Parent/Guardian Signature Date Athlete s Signature Date 4

5 Volunteering and Refund Policies Volunteering All parents of athletes participating at our Home Meet on are required to volunteer ALL DAY (from the beginning of the meet through end of clean up). Again, all volunteer positions will be ALL DAY on! Three volunteers per athlete are required to volunteer at our home meets. *** If you ve worked a LBS home meet in the past and you know what job you d like to do please let us know on the space provided below: We will do our very best to accommodate everyone! For anyone new, you will be contacted about available jobs! REFUND POLICY for LBS Refunds are available of an athlete s registration fee, less $50.00 administration fee, if the request is made prior to the end of the first week of practice. After the first week of practice, refunds will NOT be allowed. USATF Registration ($20.00) and Uniform/Merchandise purchases will NOT be refunded. Memberships that cannot be accommodated due to capacity/waitlist will be completely refunded. I agree to abide by the rules of LBS. I understand the refund policy. I understand that, with my athlete s membership, I assume responsibility of assisting with volunteering at the home meets that the club hosts. Parent Signature: Date: 5

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