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Colorado Springs Track Club
Summer Session 2020 - DISTANCE
Secure Online Registration
Participant Information
Athlete's Name
*
Gender
*
Male
Female
Registration
*
(Choose One)
CSTC Distance Summer Session ($225.00)
T-Shirt Size
(Choose One)
Youth Large
Ladies Small
Ladies Medium
Ladies Large
Men's Small
Men's Medium
Men's Large
Men's X-Large
Athlete's Date of Birth
*
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Athlete will be in grade:
*
(Choose One)
12th
11th
10th
9th
8 thor younger
Athlete's School
*
Athlete Email (optional)
List any medical or other concerns we need to know about
*
Contact/Guardian Information
Contact/Guardian Name
*
Address
*
State
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Alaska
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Utah
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Washington
West Virginia
Wisconsin
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AA
AE
AP
Parent/Guardian Email
*
Parent/Guardian Phone Number
*
Convenience Fee
$3.75
Terms
*
I understand the nature of the Colorado Springs Track Club. My child’s participation is voluntary and I may withdraw my child at any time. I have knowledge of the benefits to expect and the discomforts and/or risks which may be encountered and agree that my child participate on that basis. (Broken bones, sprains, strains, heart failure, head injury, etc.) As the parent or legal guardian of the above named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine. This care may be given under whatever conditions are necessary to preserve life, limb or well-being of my dependent. I understand CSTC carry no medical coverage for participants and hereby waive any and all liability on the part of participating instructors and volunteer coaches for any damages or injuries incurred due to participation.
I further agree to pick my child up from this event on time. If this becomes an issue we have the right to discharge your child from the program without refunding your entry fee.
I agree to the terms above.
I have read and agree to the terms above.
Total
$228.75
Running Total
$228.75
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Address
*
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*
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