Multi Child Velocity Elite Track Club Registration

Velocity Elite Track Club Registration (Multiple Children)

Track Season
ALL ATHLETES AGES 5-18 YEARS OLD ARE WELCOME TO JOIN

(Prior to registering your child) Contact us if you have questions at admin@velocityelitetrackclub.com
Spring Season 2025

Start Date: 13 January - 12 April, 2025 (There will be no Fri, Sat or Sun Practices)...Any Rainy Day Makeups will start 13 April, 2025.

Days: Monday, Wednesday and Thursdays

Practice Time: 6:00 pm - 8:00 pm

Locations:

Cypress Creek High School (Track)

Wesley Chapel District Park

Price: $775/season or $20/day (Sibling discount $150, team discount available)

Benefits:

Learn to Run Faster and Improve Your Form

Improve Your Athleticism

Learn Proper Running Mechanics

Compete Against Top Tier Athletes

Get Up and Get Active

***Spots Are Limited, So Please Don't Hesitate Signup Today!***
Athlete's Name*

First NameLast Name
Age*
Gender*
Male or Female
Date of Birth*

DayMonthYear
Date
Grade Level*
1st Grade
Athlete's Running Experience*

Beginner: Less than 2 YearsIntermediate: 2-3 yearsExperienced: 3 years+
Medical Insurance #*
Athlete's Name*

First NameLast Name
Age*
Gender*
Male or Female
Date of Birth*

DayMonthYear
Date
Grade Level*
1st Grade
Medical Insurance #*
Athlete's Name

First NameLast Name
Age
Gender
Male or Female
Date of Birth

DayMonthYear
Date
Grade Level
1st Grade
Athlete's Running Experience*

Beginner: Less than 2 YearsIntermediate: 2-3 yearsExperienced: 3 years+
Medical Insurance #
Child's Birth Certificate (Used for AAU registration)*

Cancelof
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School*
Grade Level*
1st Grade
Athlete's Running Experience

Beginner: Less than 2 YearsIntermediate: 2-3 yearsExperienced: 3 years+
Insurance Provider Name
Insurance Providers Phone Number*
Please enter a valid phone number.
Does your child have asthma?*
Yes or No
If yes to the above, do they require an inhaler?
Yes, Please explain
Does the athlete have any ongoing medical problems or allergies?
Does the child have any medical conditions that we should be aware of ?*
Is the athlete currently taking any form of medication?*
Parent/Guardian Information
Name*

First NameLast Name
Parent Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Relationship
Parent/Guardian Information
Name

First NameLast Name
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
Relationship
PERSON OTHER THAN PARENT OR LEGAL GUARDIAN TO NOTIFY IN CASE OF EMERGENCY
Emergency Contact*
First and Last Name
Relationship to Athlete*
Phone Number*
Please enter a valid phone number.
As the parent or legal guardian of the above athlete, I authorize a Velocity Elite Track Club Inc. representative to seek and sign for medical treatment for my child in the case of 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 telephone. 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 Velocity Elite Track Club Inc. and I hereby waive and release Velocity Elite Track Club Inc., its coaches, representatives and, the City of Wesley Chapel of any and all rights for damages or injuries suffered while participating with Velocity Elite Track Club Inc. during a scheduled practice, conditioning session or competition; while traveling to or from a scheduled practice, conditioning session or competition; or during any other Velocity Elite Track Club Inc. related activity.
Parent/Guardian Signature*

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Date*

MonthDayYear
Date
By signing below, I, a prospective member and parent/guardain of AAU Track & Field and USATF, agree to abide by the applicable AAU and USATF Bylaws, Operating Regulations and Competition Rules for my Level(s) and Category(s) of Membership. If in violation, I understand this may result in removal from the team and revocation of my membership.
Athlete's Signature*

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Athlete's Signature*

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Athlete's Signature

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Date*

MonthDayYear
Date
Parent/Guardian Signature*

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Date*

MonthDayYear
Date
As an athlete of Velocity Elite Track Club Inc. I understand and agree that I must follow these rules to stay in good standing:

1. I will respect those at the track meets, play fairly and follow the rules and regulations.

2. I will show respect for my coaches, parents, teachers, and community leaders and to the officials at all track meets.

3. I will demonstrate good sportsmanship before, during and after a track meet.

4. It is my responsibility to maintain a minimum 2.5 GPA, and when I receive my report card, I will bring it to practice for a track coach to review.

5. I will help my parents and fans to understand the sport of track and field and its philosophy so they can watch and enjoy the track meet.

6. Be courteous to opposing teams and treat all athletes and coaches with respect.

7. Be modest when I am successful and be gracious in defeat.

8. Respect the privilege of the use of public facilities when utilizing a visiting track.

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

10. I must have character, high moral standards, leadership, responsibility for others, and serve as a role model for other youths in the community.

11. I must always show respect for myself and how I represent myself in public.
Signature*

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Signature*

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Signature

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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 meets, 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 Velocity Elite Track Club Inc. has permission to take and use my child's photographs or digital images for official Club Purposes.

8. By signing application/registration form, you acknowledge receipt of the Velocity Elite Track Club Inc. Welcome Packet (please print from www.velocityelitetrackclub.com)
Signature*

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Date*

MonthDayYear
Date
*Failure to follow these guidelines will be grounds for Immediate Removal from the team and/or serve disciplinary action.
Acknowledgment
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

I hereby assume all of the risks of participating in the Velocity Elite Track Club Inc., Including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them, or because of their possible liability without fault. I certify that I am physically fit and have not been advised not to participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this Velocity Elite Track Club Inc. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the organizers of the Velocity Elite Track Club Inc. in which I may participate and that it will govern my actions and responsibilities at said Velocity Elite Track Club Inc. In consideration of my application and permitting me to participate in this Velocity Elite Track Club Inc., I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this Velocity Elite Track Club Inc. THE FOLLOWING ENTITIES OR PERSONS: ALL IN Velocity Elite Track Inc. coaches, agents, representatives or volunteers. (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this Track Club Season, whether caused by negligence or otherwise. I acknowledge that this Velocity Elite Track Club Inc. may carry with it the potential for death, significant injury, and personal loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, and lack of hydration. I consent and agree that Velocity Elite Track Club Inc. and/or their coaches, agents, representatives, or volunteers may take photographs or digital recordings of me as a participant during this event and use these in any and, all media for training or promotional purposes. I further consent that my identity may be revealed therein or by description text or commentary. I waive any rights, claims or interest and I understand that there will be no financial or other remuneration. This accident waiver, release of liability and image release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
Parent/Guardian Signature

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Date Signed

MonthDayYear
Date
Payment Details

Payment must be made in full prior to attending practice. If there are any questions please contact admin@velocityelitetrackclub.com for more information. Registration Fee includes: Practices held on Mon, Wed and Thurs, Velocity Elite Track Club Inc. running uniform, warmup suit, adjustable headband, arm sleeve, bookbag, AAU membership enrollment fee, AAU insurance and track club administration fees. (Understand There are no Refunds, Once Payment is Made, a Deposit of $75 must be paid upon completion of registration)
Spring Season 2025*
prevnext( X )
Registration SpringTrack Season (Spring 2025)
$700.00 Sibling Discount
Item subtotal:$0.00

Spring DepositTrack Season (Spring 2025)
$75.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00
Should be Empty:

Velocity Elite Track Club Registration (Multiple Children)

ALL ATHLETES AGES 5-18 YEARS OLD ARE WELCOME TO JOIN

Parent/Guardian Information

Parent/Guardian Information

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

Acknowledgment

Payment Details