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THE GREATER MEDINA TRACK CLUB SUMMER TRACK CLINIC 2007
Registration Form Registering for: ________clinic _________club ________both
Name of Athlete:__________________________________________ Age:______________________ Address: ____________________________________________________
Phone:____________________________________________ Email:________________________________________
Gender: (please circle) Male Female Shirt Size: ______ Short Size: ______
Grade/Year:__________________________________ Height:___________________ Weight:__________________
Experience (check one): _____Beginner (0-1 year experience) _____ Intermediate (2-3 years experience) ______ Advanced (4+ years experience)
Events:______________________________________________________________________
Personal Records:______________________________________________________________ _____________________________________________________________________________
Goals:________________________________________________________________________
Total Fees: Clinic Registration Fee- $75.00 (if participating in the track club, $25.00 will go toward membership)
Track Club Annual Registration Fee Only- $25.00
Registration Fee allows athlete to represent the club during the year.
Athletes MUST complete the Medical Release form prior to participation. No Exceptions
Mail to: The Greater Medina Track Club
P.O. Box 207
Medina, Ohio 44256-0207 |
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