2025 Bergen Elite Cross Country, Track and Field Summer Training
We are excited to offer the FIRST Specialized cross country, track and field summer training program. Only a limited number of participants will be accepted. Dates: June 23rd to August 1st 2025 at Westwood Regional High School, Monday-Friday from 6:30pm to 8:30pm. We will attend meets that will be announced when the summer schedule is posted (additional fee) The cost of this training program is $720 with Payment due at the time of registration. Payment options and questions should be emailed to bergencountyelitexctf@gmail.com.
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Athlete Information
Athlete First and Last Name
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Age (years)
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What event would you like your focus to be? (Choose no more than two individual events or Multi)
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Multi (pentathlon/heptathlon/decathlon)
Short Sprints: 100m, 200m, 400m
Long Sprints: 400m, 800m, 1600m
Distance: 3200m, 5k
Throws: Shot, Discus, Javelin
Jumps: Long jump, Triple jump, High jump
Pole Vault
Hurdles
What school do you attend?
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What is your USATF number? If you do not, join here https://usatf.sport80.com/public/wizard/a/941/home and use club code 07-1154.
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What is your phone number?
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What is your instagram?
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What is your uniform size?
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XS
S
M
L
XL
XXL
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Parent/Guardian Information
Parent/Guardian First and Last Name
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Parent/Guardian Phone Number
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Parent/Guardian Email Address
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Waiver
Do you consent to Bergen Elite XCTF using photos/video of your athlete for promotional reasons (website, social media, newspaper, etc)
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Yes
No, every effort will be made to remove their likeness from photos.
I hereby release and agree to hold Bergen Elite Cross Country, Track and Field harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the training program, or that may otherwise arise in any way in connection with any services received from Bergen Elite Cross Country, Track and Field. I understand that this release discharges Bergen Elite Cross Country, Track and Field from any liability or claim that I, my heirs, or any personal representatives may have against the training program with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Bergen Elite Cross Country, Track and Field. This liability waiver and release extends to the training program together with all owners, partners, volunteers and staff. GUARDIAN'S please type your full name to show consent from the above message. This will be considered as an electronic signature of the consent. TYPE FULL NAME BELOW. (Date applied upon submitting the form)
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By submitting, this form denotes permission for my child to participate in the Bergen Elite Cross Country, Track and Field Summer Program. a)We reserve the right to nullify enrollment of an athlete if their behavior negatively impacts the quality of the program for other athletes. b) Refunds may be requested in writing by June 1, 2025. No refunds will be given after that date for any reason. Refund amount will not include any money spent on athlete's uniforms or other activities that cannot be reimbursed by the vendor. c) As in any sport, there are inherent risks and injuries may occur. I hereby release and discharge the Westwood Regional School District, its Coaches, Board Members, officials, volunteers, commissions, sponsors or associations from any and all actions for losses, damages or personal injury to myself and my child that may occur or arise from my child's participation in the Bergen County Elite Track & Field Training. In the event of an emergency when I am not present or can't be released, I permit Bergen County Elite Track & Field Training staff to seek medical assistance for my child should it be necessary. d) Photos of my child may be taken for publicity purposes and may be shared on the team's Facebook page and for team events. (Date applied upon submitting the form)
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I have read, understand and agree to the above disclaimer and participation statement.
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2025 6-Week Summer Program
June 23-August 1, 2025 (Monday-Friday) Structured group training program.
$720.00
$
720.00
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