2025 Cross Country Registration
Athlete's Name
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Male
Female
USATF Membership #:
AAU Membership #:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Additional Information
School District
*
School Name
*
Grade
*
Father's Name
*
First Name
Last Name
Father's Email Address
*
example@example.com
Father's Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Name
*
First Name
Last Name
Mother's Email Address
*
example@example.com
Mother's Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Uniform Size
Uniform Size
*
Please Select
YS (chest 26-28)
YM (chest 28-29)
YL (chest 30-31)
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XS
T-Shirt Size
*
Please Select
6-8 (YS)
10-12 (YM)
14-16 (YL)
YXL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XS
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Medical Information
Medication in athlete's possession
List any pertinent medical history or chronic medical problems
Medical Insurance
Ins. Co. Name
Name of Insured
Policy#
Group#
ID#
Print Form
Submit Form
Should be Empty: