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Athlete Registration Form
Warriors Track Club
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Ephesians 6:13 - Get your armor on.
Athlete Registration Form
If you are a human and are seeing this field, please leave it blank.
Fields marked with an
*
are required
Athlete First Name
*
Athlete Middle Name
*
Athlete Last Name
*
Athlete Birthdate
*
Gender
*
Male
Female
Primary Phone
*
Primary Email
*
Address 1
*
City
*
State
*
Arkansas
Kansas
Missouri
Oklahoma
Zip / Post Code
*
School/District
*
Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Health (Check all that apply)
Asthma
Allergies
Medications
Please specify any health boxes checked above.
Insurance provider
*
Hospital preference
Parent/Guardian #1 Full Name
*
Parent/Guardian #2 Full Name (optional)
Secondary Email (optional)
Secondary Phone (optional)
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Phone
*
I acknowledge that I have read and agree to the health/photo release form and will pay the club fee in order for my child to participate. The health/photo release from can be found on the home page of the website.
*
I have installed the BAND app and joined the Warriors Track Club in order to receive team updates and notifications.
*
Payment Option ($60 for Track & Field - $25 for Cross Country - $25 for Indoor Track)
*
Via PayPal on the next screen
Via Cash/Check at the first practice attended
Via Venmo using @WarriorsTC