MATS Training Application Form

Athlete Name

First NameLast Name
Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Athlete Phone Number

Area CodePhone Number
Athlete Email Address
example@example.com
Athlete Date of Birth

DayMonthYear
Date
Parent / Guardian or Partners Name

First NameLast Name
Parent / Guardian or Partners Phone Number

Area CodePhone Number
Parent / Guardian or Partners Email
example@example.com
Do you have any medical conditions, allergies, asthma we need to know about?
Please list any medications taken?
Do you have any special dietary requirements?
What are you signing up for?
I / We declare that I the athlete will attend training as requested, inform us of injuries as they arise, and adhere to the MATS Training Group Values as listed on the home page of the MATS Training / Timing website.
I / We declare that the information provided is true and correct in every particular and is a correct representation of the applicant.
Should be Empty: