Warriors Track Club

Athlete First Name *

Athlete Middle Name *

Athlete Last Name *

Athlete Birthdate *

Gender (Male/Female) *

Primary Phone *

Primary Email *

Country *

Address 1 *

City *

State *

Zip / Post Code *

Grade Your Child Is In *

School/District *

Shirt Size *

Parent/Guardian #1 First Name *

Parent/Guardian #1 Last Name *

Health (Check all that apply)

Asthma
Allergies
Medications

Please specify any health boxes checked above.

Insurance provider *

Hospital preference *

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. *

Payment Option ($85 for Track & Field - $30 for Cross Country - $30 for Indoor Track - $75 for Fall/Winter Pole Vault Unlimited use - $30 for Fall/Winter Pole Vault and then $10 per session) *

I have installed the BAND app and joined the Warriors Track Club in order to receive team updates and notifications. *

Athlete Registration Form