Registration Form

Athlete Registration Form
Athlete Information
Athlete Name

First NameLast Name
Athlete Nickname
Athlete Date of Birth

MonthDayYear
Date
Athlete Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Parent Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does your child have any health conditions? If so please list blank .
Does your child take any medications? If so please list blank .
I blank give my child blank permission to participate in track and field events with Runnin on Faith track club.
Signature

Registration Fee

$75.00

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

Athlete Registration Form