2022 Track Payment Form

2022 VU Track Payment Form
Athlete Name *

First Name Last Name
Gender *

Female Male
Date of birth *

Month Day Year
Date
Parent Info *

Parent First Name Parent Last Name
Parent Cell # *

Area Code Phone Number
E-mail *
Fees are as follow:

$80.00 for July Club facilities

$40.00 for USATF Region Meet Fees

$60.00 for USATF National Meet Fees
July Facilities and $80.00
USATF Regional Meet Fees $40.00
USATF National Meet Fees $60.00

My Products

July Facilities $ 80.00

USATF Regional Meet Fees $ 40.00

USATF Nationals Meet Fees $ 60.00

Total $ 0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature

First Name Last Name
Should be Empty: