ATHLETE REGISTRATION FORM

ATHLETE REGISTRATION FORM

Register now to become part of our exciting running club for young athletes. Fill out the form below and proceed to payment.
Are you a new athlete to Time Machine or Re-registering
ATHLETE INFORMATION*

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Participant's Age*
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Athlete Employer, if any (Optional):
PARENT / GUARDIAN INFORMATION (required if minor or otherwise has a legal guardian)

First NameLast Name
Relationship:
Same Contact Info as Athlete
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
First NameLast Name
PhoneRelationship
Parent or Guardian Signature

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Youth Running Club Registration FeeRegistration fee for the youth running club program.
$395.00 Quantity



Youth Running Club-Sibling Discount
$370.00 Quantity



MVHS (Students only) Winter Distance Camp
$250.00 Quantity



MVHS (Students only) Cash/Check $250
$ Free Quantity



Total

$0.00
Payment Methods

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Choose from one of the PayPal options to make your payment.

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