2022 Cross Country Online Payment Form - 1-5 Athletes

2022 Cross Country Payment

1 to 5 athletes - Please fill in the form below.
Athlete's Full Name *

First Name Last Name
Birth Date *

Month Day Year
Date
Gender *

Female Male

Click to add player 2
Athlete 2 Full Name

First Name Last Name
Athlete 2 Gender

Female Male
Athlete 2 Birth Date

Month Day Year
Date

Click to add player 3
Athlete 3 Full Name

First Name Last Name
Athlete 3 Gender

Female Male
Athlete 3 Birth Date

Month Day Year
Date

Click to add player 4
Athlete 4 Full Name

First Name Last Name
Athlete 4 Gender

Female Male
Athlete 4 Birth Date

Month Day Year
Date

Click to add player 5
Athlete 5 Full Name

First Name Last Name
Athlete 5 Gender

Female Male
Athlete 5 Birth Date

Month Day Year
Date

Press Here to Continue
Parent 1's Full Name *

First Name Last Name
Parent 1's E-mail *

Confirmation Email
Parent 1's Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
If you would like to write a check, click the number of athletes you are paying for to get the price.

Write your check to Santa Clarita Track Club

and send it to:

Santa Clarita Track Club
C/O Alan Bingham
27900 Youngberry Dr
Santa Clarita, CA 91350-1756

Otherwise you may put credit card information below and click submit.
You can select 0 and the form will be submitted with no payment.

Please do that if you plan on sending in a check.

The price is $225.00 for the first and 2nd athletes, and $125.00 for each athlete in the same family after that, up to 4 of the same household.

1 =$225.00

2 = $450.00

3 = $575.00

4 = $700.00

5 = $700.00

Please be sure to edit the Quantity below.

My Products

REGISTER FOR 2021 CROSS COUNTRY $ 200.00

Quantity
Item subtotal: $ 0.00

Total $ 0.00

Credit Card

Should be Empty: