Please register my child for the 2011 Maryland Titans Track Club season.
Fill out a separate form for each child you are registering. |
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* = REQUIRED |
Athlete/Parent Information |
| Athlete's First Name: * |
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| Athlete's Last Name: * |
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| Home Address: * |
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| City: * |
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| State: * |
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| Zip Code: * |
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| Home Telephone: |
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| Athlete's Email: |
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| Athlete's School: |
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| Present Grade in School: |
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| Athlete's Birthdate: * |
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| Gender: * |
Boy Girl |
| Age Group: |
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| Parent/Guardian #1 Name: * |
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| Cellphone: * |
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| Work Phone: |
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| Email Address: * |
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| Parent/Guardian #2 Name: |
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| Cellphone: |
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| Work Phone: |
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| Email Address: |
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| Emergency Contact: |
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| Relationship: |
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| Cell Phone: |
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| Volunteer Assistance
| I/We would be willing to volunteer as: *
Meet Timer
Meet Warmup/Stretching
Where Needed |
Photo Permission *
By checking one of the boxes below, you will grant us permission to use your child's photographs for publicity purposes.
I understand that my child's photo may appear on the Maryland Titans Track Club website or be used in any published articles or news releases.
NO, I do not want my child's photo may appear on the Maryland Titans Track Club website or be used in any published articles or news releases. |
Fees, Uniforms, and Payment
The basic fee per athlete is $250 for the season, and includes include your uniform/sweatsuit, AAU membership, and all meet and team fees. Please note: Fees do not include additional expenses associated with AAU Regional and Qualifying Meets, USATF membership/fees, or any travel expenses. |
Family Information: *
I am the only child in my family running with the Titans.
I have siblings on the team, and I am the first from my family to register.
I have siblings on the team, and one of them has already registered. (After the first child has registered, fees for siblings are reduced by $25.)
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Age Information: *
I am currently in grades K-8.
I am currently in high school. (Fees for high schoolers are reduced by $25 since they do not participate in meets in May).
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Uniform Ordering Information
Please provide your measurements in INCHES (including height):
Height:
Chest:
Waist:
Hips: |
Your TOTAL Amount Due Is: $ |
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Submitting this form online registers you for the team, however, your registration is not complete!
New athletes must also provide a copy of their birth certificate or passport as proof of age. All athletes must provide a copy of their first-semester report card.
In addition, you must print, complete, and sign the following forms:
- Waiver, Release, and Statement of Physical Condition
- Athletes Contract
- Parents Code of Conduct
CLICK HERE to download and print these forms. Once they are completed, please bring them, along with a check for the total amount due as indicated above and a copy of your first-semester report card and copy of your birth certificate, to the registration session from 6:00 to 7:30 pm on March 15 or 16, 2011, at Northwest High School.
Checks should be made payable to Titans Track Club. Your registration is not complete until we have received your check and the additional forms! |
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