Running Fire 2025 Registration

RUNNING FIRE TRACK CLUB

2025 REGISTRATION
Please Email Birth Certificate, Physical, and Athlete Head Shot to runningfiretc@yahoo.com
(Athlete's First Name)*
(Athlete's Last Name)*
Gender*

MaleFemale
Date of Birth*
Address*

Address

Street Address Line 2

CityState

Postal / Zip Code
Father's Name
Home Phone
Cell Phone
Father's Email
Mother's Name
Home Phone
Cell Phone
Mother's Email
Please List Any Physical Handicaps, Injuries, Allergies, etc.*
Date of Athlete's Last Physical*

MonthDayYear
School Attending*
PERSON OTHER THAN PARENT OR LEGAL GUARDIAN TO NOTIFY IN CASE OF EMERGENCY
Relationship to Athlete*
Phone*
As the parent or legal guardian of above athlete, I authorize a Running Fire Track Club/BIBIYOA Inc. representative to seek and sign for medical treatment for my child in an emergency situation. I also authorize the same representative to be allowed to sign for medical treatment in non-emergency situations when my child is traveling or when I am unable to be reached by phone. I fully understand that participation in athletics, in this case track and field, could result in both minor and serious injury and even death.I further understand that to minimize the risk of injury or harm, the athlete should have had a physical within the past year. I assume any and all risks associated with the above athlete's participation as a member of Running Fire Track Club and I hereby waive and release Running Fire Track Club, its coaches and representatives, and the City of Boynton Beach of any and all rights for damages or injuries suffered while participating with Running Fire Track Club during a scheduled practice, conditioning session or competition; while traveling to or from a scheduled practice, conditioning session or competition; or during any other Club related activity.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
By signing below, I, a prospective member of AAU Track & Field, agree to abide by the applicable AAU Bylaws, Operating Regulations and Competition Rules for my Level(s) and Category(s) of Membership.
Athlete Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
I, (Parent/Legal Guardian Name)*
I, the parent/guardian, understand that Running Fire Track Club/BIBIYOA, Inc. does not assume any responsibility due to accidents for medical, hospital, or other expenses incurred while participating in or traveling to or from the activities of Running Fire Track Club/BIBIYOA, Inc.

My child (the above named athlete) has my permission to join Running Fire Track Club during the 2025 track season.
Does the athlete have any ongoing medical problems or allergies?*
If so, please indicate
Does the athlete have asthma? (y/n)*
If so, please indicate
Is the athlete currently taking any form of medication?*
If so, please indicate
Health Insurance Company*
Insurance Company ID Number*
of Athlete's Physician*
Physician's Telephone Number*
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
As a player, I understand that I must follow these rules to stay in good standing:

1. Respect the game, play fairly and follow its rules and regulations.

2. Show respect for authority to the officials of the game and of the league.

3. Demonstrate good sportsmanship before, during and after the game.

4. Help parents and fans understand the league philosophy so they can watch and enjoy the game/meet.

5. Be courteous to opposing teams and treat all players and coaches with respect.

6. Be modest when successful and be gracious in defeat.

7. Respect the privilege of the use of public facilities.

8. Refrain from the use of drugs, tobacco, alcohol and abusive language.

9. You must have character, high moral standards, leadership, responsibility for one another, and serve as role models for other youth in the community.
Athlete Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
As a parent/guardian, I recognize that parents/guardians are the most important role models for their children, and that sports help to develop a sense of teamwork, self-worth and sportsmanship. As such, I agree to abide by the following:

1. Encourage good sportsmanship by demonstrating positive support for all players, coaches, fans, and officials at games, practices and other sporting events.

2. Place the well-being of my child before a personal desire to win.

3. Advocate a sports environment for my child that is free of drugs, tobacco, alcohol and abusive language, and refrain from their use during practice, functions and youth sporting events.

4. Encourage my child to play by the rules and respect the rights of other players, coaches, fans, and officials.

5. Parents are not to remove their children from the practice field, competition site, the bus, etc. without letting the appropriate coach/chaperone know.

6.Parents are responsible for providing transportation for their children to and from practice or meets, to insure safety and protection. Also parents should pick up their children in a timely

7. Athlete Photographs/Images: By signing below I understand and agree that Running Fire Track Club has permission to take and use my child's photographs or digital images for official Club Purposes.

8. By signing Application, you acknowledge receipt of the Running Fire Track Club Handbook(please print from www.runningfiretc.com)
Date*

MonthDayYear
Date
Parent/Guardian Signature*

Clear
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
*Failure to follow these guidelines will be grounds for Immediate Removal from the team and/or serve disciplinary action*
Should be Empty:

RUNNING FIRE TRACK CLUB

Please Email Birth Certificate, Physical, and Athlete Head Shot to runningfiretc@yahoo.com

PERSON OTHER THAN PARENT OR LEGAL GUARDIAN TO NOTIFY IN CASE OF EMERGENCY