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1 January, 2015 Dear Athletes and Parents: Welcome to the Northwest Flyers Track Club. It takes a special dedication to be a track athlete. It is hard work and requires considerable concentration and effort. It also offers a greater reward than can be found in any other organized athletic activity. In 2014 the team had another record-breaking season, which concluded with a strong showing in the US Junior Olympics National Championships in Humble, TX. In 2015 we will again have a fun but challenging schedule facing the team. We plan to put forth extra effort to make this year even better. Please review the attached checklist and follow the instructions carefully to complete the registration process. This year s registration fee will be $250 for both new and returning members. This will cover the usual costs of USATF cards, club dues, uniform, T-shirt, fundraising buyout and championship entry fees. It s very important that we get all of the paperwork and fees submitted prior to the first practice session so that the athletes will be insured. Otherwise, they will not be allowed to participate. Official team practice is currently scheduled to begin on February 16, 2015 please report without further notice. Please mail your completed registration forms and payment to the following address: Northwest Flyers Track Club c/o Linette Roach 7010 Centre Grove Dr. Houston, TX The Northwest Flyers Track Club is an all-volunteer program. We expect every parent to participate in fundraising, take an active role staffing our host track meet on May 22-23, 2015 and help out at team practices and meets throughout the season. Parents do not need to be track experts to help out. There are numerous ways you can get involved; we will let you know how. Once again, welcome to the club. If you have any questions, feel free to ask me or any of the coaches listed on the attached phone list. Sincerely, Pal Roach Director
2 NORTHWEST FLYERS PARENT S CHECKLIST Completed and signed Registration Forms: Participant s Fact Sheet, Medical Release, Athlete Event Selection / Commitment, Volunteer Interests, and Fee Worksheet Reminder, you must enter address(es) where requested Signed Code of Conduct Correct registration fee paid (cash, check or money order) Provided two (2) copies of athlete s birth certificate (*) Provided one (1) photograph of your athlete (portrait style) (*) If you missed the orientation breakfast / evening session, athlete and parent must print / sign each page of the NW Flyers Program Summary on the NW Flyers website (which includes the practice / competition schedule). (*) If these items are already on file with the team you don t have to submit again. NORTHWEST FLYERS TRACK CLUB PERSONNEL SENIOR DIRECTOR PAL ROACH (281) DIRECTOR TONY RUNNELS (832) DIRECTOR DONNELL CARTER (281) ASSISTANT DIRECTOR ALAN SIMS (713) SENIOR HEAD COACH DAVE BOGERT (281) PAUL GATES (832) ELLEN ROBINSON (832) ERIC WENTWORTH (281) COACHES See the team website: SECRETARY/HD. REGISTRAR LINETTE ROACH (281) TREASURER SHERYL MONTGOMERY (281) COMMUNICATIONS CHARMETRIA HOUSE (713) FUNDRAISING DIRECTOR DONNELL CARTER (281) The Northwest Flyers Track & Field Team is a 501(c) (3) non-profit corporation sanctioned by the USA Track & Field Association (USATF) for Youth Track.
3 Returning Member? (Check One): Yes No REGISTRATION FORM PARTICIPANT FACT SHEET For Registrar s Use Only Age Bracket- Birth Yr Amt Pd < Check # CC Code # Cash Birth Cert Photo USATF Card Date ATHLETE S NAME: ADDRESS: _ CITY STATE ZIP SCHOOL DISTRICT: SCHOOL: GRADE: _ DATE OF BIRTH: HOME PHONE: _ Athlete s Cell Phone: _ FATHER S NAME: Work Phone: _ Father s Cell Phone: MOTHER S NAME: Work Phone: _ Mother s Cell Phone: _ NEAREST RELATIVE: PHONE: LIST ANY SPECIAL PRECAUTIONS, MEDICATION, INJURIES, ETC. THAT SHOULD BE CONSIDERED: UNIFORM ORDER Gender (CIRCLE ONE): Male Female Uniform Size (CIRCLE ONE): Child Size (8 yo and younger / 9-10 yo / yo) == YS (chest 26-28) YM (chest 28-29) YL (chest 30-31) (OR) Adult Size (13-14 yo and older) == Adult Small Adult Medium Adult Large Adult XL **IF YOU ARE AN ADULT SIZE SHOT OR DISCUS THROWER, PLEASE CHECK HERE T Shirt Size (CIRCLE ONE) Child Size: 6 8 (YS) (YM) (YL) (OR) Adult Size: Adult Small Adult Medium Adult Large Adult XL Adult XXL PARENT/LEGAL GUARDIAN SIGNATURE: _
4 REGISTRATION FORM MEDICAL RELEASE CHILD S NAME: _ DATE OF BIRTH: ADDRESS: CITY _ STATE ZIP TELEPHONE PARENT/LEGAL GUARDIAN: EMERGENCY PHONE NUMBERS FATHER: Work Phone: Cell Phone: MOTHER: Work Phone: Cell Phone: HOME PHONE: FRIEND/RELATIVE: PHONE: MEDICAL INFORMATION MEDICATION IN ATHLETE S POSSESSION: LIST ANY PERTINENT MEDICAL HISTORY OR CHRONIC MEDICAL PROBLEMS: MEDICAL INSURANCE: Ins. Co. Name: Name of Insured: Policy or Group # & ID# In case of an emergency and a parent cannot be reached by phone, I authorize an officer or member of the Northwest Flyers Track Club to obtain medical treatment for my son/daughter and any hospital medical staff requested by a physician to make such examinations and render such medical treatment which in his/her judgment may be deemed necessary for my child s health and welfare. PARENT/LEGAL GUARDIAN SIGNATURE: _
5 REGISTRATION FORM ATHLETE EVENT SELECTION* AND REQUIRED COMMITMENT LEVEL Girls Boys Sprints 100m 100m 200m 200m 400m 400m Middle Distance 800m 800m Distance 1500m 1500m 3000m 3000m Race walking Race walking Hurdles 100m 110m 200m 200m 400m 400m Field Events Long Jump Long Jump High Jump High Jump Triple Jump Triple Jump Pole Vault Pole Vault Shot Put Shot Put Discus Discus Javelin Javelin Relays 4 x 100m 4 x 100m 4 x 400m 4 x 400m 4 x 800m 4 x 800m Multi-Events Triathlon (HJ, Shot, 200) Triathlon (HJ, Shot, 400) Pentathlon (100 h, LJ, Shot, HJ, 800) Pentathlon (110 h, LJ, Shot, HJ, 1500) Heptathlon (200, 100 h, LJ, Shot, HJ, Jav, 800) Dec (400, 100, 110 h, LJ, Shot, HJ, Jav, PV, Disc, 1500) Your PRIMARY EVENT (Circle One): Sprints / Distance / Hurdles / Jumps / Throws / Pole Vault *Note: Event selection is used to identify interests; actual events may change based on coaches recommendations. As an all-volunteer program our most precious resource is the time of our coaches, staff, and parent volunteers. When athlete participation in the program is irregular and unpredictable team resources are used up without providing any benefit to anyone. Our volunteer resources are often stretched as we support team growth, a natural result of the tremendous success we ve had over the last few years. To use our resources effectively and fairly, all athletes that join the NW Flyers Track Club are expected to make the reasonable commitment of practicing regularly, competing regularly, supporting our home track meet, and participating in the championships. Membership under any other basis requires a written request for exception by the parents and the approval of the Director. _ Athlete Signature Parent/Guardian Signature
6 REGISTRATION FORM VOLUNTEER INTERESTS The Northwest Flyers Track Club is an all-volunteer organization. It takes a lot of volunteers to support a spirited youth track organization that competes at the national level. We require active participation from all our parents in the program. Please check the area(s) below where you can help your team: Parent Volunteer Coordinator Athlete Recruiting Coordinator Athletic Trainer Coaching Assistant College Scholarship Committee Digital Photographer (Video / Camera) Fundraising / Donations / Sponsors Committee Parent Liaison Committee Publicity / Communications Registration Social Committee Spirit Item Sales Statistician Team Mom or Dad Tent Transport / Set up Travel Planning Uniform Distribution Web Page Editor / Administrator
7 Code of Conduct Coaches Northwest Flyers Track Club Code of Conduct Respect our athletes Demonstrate positive open communication between coaches, athletes, parents & officials Reprimand or confrontation with an athlete will be restricted to the athletic domain and administered tactfully without insulting or using a derogatory tone The Northwest Flyers will follow all USATF rules Acknowledge and demonstrate good safety in practices and events Demonstrate respect and ethical conduct in interactions with officials, other coaches, opponents and all others in the athletic setting Exhibit self-control in disagreements and emotional situations Criticism of other coaches, officials or athletes is inappropriate Ensure that when you leave an area (practice or meet) you leave it cleaner than when you arrived Support volunteer opportunities provided by the Gulf Association / USATF (e.g., volunteer support for school district, NCAA, and Olympic Development meets) Continually seek opportunities to improve skills as a T&F coach Do not smoke at practices or meets nor bring alcoholic beverages to any Northwest Flyers sponsored events Foul language will not be tolerated Be honest Have fun! Code of Conduct Athletes Arrive on time to practice and competitions Come prepared to practice by wearing proper shoes and attire; bring sweats in case the weather gets chilly; bring a towel or blanket to lay on during warm ups / cool down / ab workout if it s wet outside Ensure that you are mentally ready to train Hydrate, eat nutritionally and get plenty of sleep prior to practice and competitions The Northwest Flyers will follow all USATF rules Acknowledge and demonstrate good safety in practices and events Demonstrate positive open communication between coaches, athletes, parents & officials Positively support fellow Northwest Flyers team members at practice and in competition No gossiping or slandering others on the team Respect the Northwest Flyers coaching staff, Northwest Flyers team members, officials, other coaches and opponents Ensure that when you leave an area (practice or meet) you leave it cleaner than when you arrived Support volunteer opportunities provided by the Gulf Association / USATF (e.g., volunteer support for school district, NCAA, and Olympic Development meets) Strive not only to be the best athlete but also the best student; keep your grades up Do not smoke, drink alcoholic beverages, use illegal drugs, and take USATF banned substances
8 Wear the team uniform neatly and properly at all competitions, wear proper attire when not in uniform during practice and competitions as determined by the host school facility dress code Foul language will not be tolerated Be honest Have fun! Code of Conduct Parents Ensure your athletes arrive on time to practice and competitions Allow enough time to stay and support all Northwest Flyers team members at competitions Provide water, nutritional food and a quiet place to rest for your athlete Demonstrate positive open communication between coaches, athletes, parents & officials No gossiping or slandering others on the team Respect the Northwest Flyers coaching staff, Northwest Flyers team members, officials, other coaches and opponents If a parent has an issue or concern, they should schedule an appointment to discuss with the coach and / or director parents should not demand an immediate hearing at practice or a competition as this approach is generally confrontational and non-productive Ensure that when you leave an area (practice or meet) you leave it cleaner than when you arrived Support volunteer opportunities provided by the Gulf Association / USATF (e.g., volunteer support for school district, NCAA, and Olympic Development meets) Do not smoke at practices or meets nor bring alcoholic beverages to any Northwest Flyers sponsored events Foul language will not be tolerated Be honest Have fun! _ Athlete Signature Parent/Guardian Signature
9 How did you hear about the Northwest Flyers? (Please check all that apply) I m a returning member Internet / Web Search Bandit sign School flier Subdivision newsletter Newspaper/Magazine Friend or neighbor or family Other _ Athlete(s) Name Parent/Guardian Signature
10 REGISTRATION FORM FEE WORKSHEET Instructions: 1) Check off boxes below for applicable discounts / additions 2) Write checked adjustments in the Amount column 3) Sum and enter amount due in the TOTAL row New and Returning Members Amount Registration Fee $250* Early Bird breakfast (-15) 2 nd Family Member Fee (+200) 3 rd or More Family Member Fee (+175) Optional TOTAL $ Make checks payable to Northwest Flyers Track Club * Note: REGISTRATION FEE COVERS: UNIFORM, USATF CARD, CLUB DUES, TEAM T-SHIRT/SINGLET TOP/SINGLET BOTTOM, CHAMPIONSHIP ENTRY FEES AND FUNDRAISING BUYOUT REGISTRATION FEE DOES NOT COVER FALL CROSS-COUNTRY SEASON, A $50 OPTION (EFFECTIVE 2012) We, the parent/guardians of the named applicant authorize the Northwest Flyers Track Club to process the applicant s USATF membership card. _ Athlete(s) Name Parent/Guardian Signature
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