Track & Field Registration Packet

By my signature, I hereby give my consent for the above-named child to participate in practices, track meets, road races, travel and other activities sanctioned, sponsored, and/or attended by the WEST GEORGIA ELITE Track Club (WGETC I authorize the Head Coach, Coaches or Staff members to sign the standard athlete's release forms, USA Track & Field (USATF), Amateur Athletic Union (AAU), Coach O, Invitational Meets, and documents from other track meets not mentioned when entering my child in any sanctioned events. Should I (or my child) decide to withdraw from participation with the WEST GEORGIA ELITE Track Club and its activities, I agree to notify WEST GEORGIA ELITE Track Club, in writing, that | am withdrawing the above-named child and acknowledge that all REGISTRATION FEES PAID ARE NON-REFUNDABLE.

Further, in consideration of my child being accepted in the WEST GEORGIA ELITE Track Club, I hereby indemnify and hold harmless The WEST GEORGIA ELITE Track Club, the WEST GEORGIA ELITE ATHLETICS Head Coach, The WEST GEORGIA ELITE ATHLETICS Coaches, and against any and all rights and claims which I have or which may arise in conjunction with my participation or travel to and from practices, track meets, road races or other activities sanctioned, sponsored and/or attended by the WEST GEORGIA ELITE Track Club and its affiliates, including, but not limited to USATF, and AAU.

The signee below represents that the above-named child's Medical History including allergies, medications being taken and physical impairments that will in any way affect the child's participation have been brought to the attention of WEST GEORGIA ELITE Track Club in writing on the Medical Acknowledgement/Waiver/Consent and

Release form of the WEST GEORGIA ELITE Track Club.

I understand my child will not be covered by insurance provided by The WEST GEORGIA ELITE Track Club and thatI

either have my own major Medical Insurance Policy or, if not; I will cover the expenses of any injury.

By my signature I represent that by signing, I am the person that I purport to be and in the case of a parent or legal guardian that such a relationship exists between the child and myself. By my signature, also, I will read and agree to all RULES and GUIDELINES in the WEST GEORGIA ELITE Parent/Athlete Information Booklet/Handbook.

The undersigned participant or guardian acknowledges that participation is voluntary and agrees to waive and release any and all rights and claims for damages against the WEST GEORGIA ELITE Track Club and all volunteers and members of the same, for any claim arising out of any injury or damages to me/my child. By signing this release, I, the parent/guardian consent to such participation and also verify that adequate medical insurance is in effect during this period. In the event of an emergency and I cannot be reached, I give permission for authorities of the above name agency to seek immediate medical attention for myself/my child.

I hereby consent to the use and reproduction of any and all photographs and/or video clips taken of me/my child in any form whatsoever for use in the WEST GEORGIA ELITE Track Club newsletter, brochures, flyers, on the County and department websites, and in any other publications produced for the Co or team. Consent is also granted for any use of my name/child's name in any part of those publications listed above. I have read this document and am fully aware of the content and implications, legal and otherwise.

CODE OF CONDUCT: The WEST GEORGIA ELITE Track Club believes that sportsmanship is a core value, and its promotion and practice are essential. Participants, parents, officials, administrators, and spectators have a duty to assure that their teams/clubs promote the development of good character. This code of conduct applies to all participants involved in athletics and all activities/events in which WEST GEORGIA ELITE Track Club sponsors or participates.

1.Participants will advocate, model, and promote the development of good character to include trustworthiness, respect, responsibility, teamwork, fairness, caring, and citizenship while promoting emotional, physical, and moral well-being above desires and pressure to win. 2. Participants will respect peers, coaches, officials, opponents, and others associated with the activity/event. 3. Participants will promote fair play and uphold the spirit of the rules in the activity/event. 4. Participants will model appropriate behavior at all times. 5. Participants will engage in a healthy lifestyle.

RETURN CHECK POLICY: There will be a $35.00 non-sufficient funds fee applied to your account if a check in returned. In addition, checks may not be accepted for ANY future payments.

I have read and fully understand all of the information that has been presented to me. Furthermore, I have read and understand the requirements of this Code of Conduct and acknowledge that my athlete(s) may be disciplined, placed on probation, or removed from a WEST GEORGIA ELITE Track Club Department sponsored event/activity and/or facility if he/she/they violate any of its provisions.