GAC Track Registration 2021

Generals Athletic Club, Inc
Generals Athletic Club, Inc

Track and Field Registration Form 2021
(GAC)
Track and Field Registration Form

Track and Field Registration is $175.00. Registration is NON-REFUNDABLE and must be paid in full by Feb 15th, 2021. Form must be properly and entirely completed before child participation is permitted. Once online registration and payment is submitted a GAC staff member will contact you within 3-5 days to complete full registration packet.
Child's Name

First NameLast Name
Address

Street Address Line 2

CityState

Zip
Date of Birth
Age as of December 31st 2020
Female
Male
Mothers Name
Fathers Name
Guardian (if applicable)
Telephone#

Area CodePhone Number
Email Address
Grade & School
Emergency Contact
Emergency Telephone #

Area CodePhone Number
Your Child must have insurance. In the event insurance is utilized your childs personal insurance is used as primary insurance. Your childs insurance information must be submitted at time of registration. GAC insurance is only secondary*
MEDICAL INFORMATION
Please state any medical, physical or emotional problems that we should be aware of, such as asthma, diabetes, epilepsy, etc. and any medications your child is currently taking
Does your child have any physical or emotional problems?

If yes, please list all medications:

I give my child forementioned sport sponsored by the Generals Athletics Club, Inc. I also agree to the policy, terms & membership of the Generals Athletics Club, Inc.

*** Registration Fees*** All fees must be paid in full at time of registration. Unless a payment plan is approved by GAC.

NO REFUNDS ARE GIVEN AFTER SUBMITTING PAYMENT & REGISTRATION.
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Track and Field Registration

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Generals Athletic Club, Inc

(GAC)

MEDICAL INFORMATION