Coral Springs Blazers Registration

Coral Springs Blazers Registration

Track & Field registration is currently open (Payment is due at time of registration).
Athletes Name:*
Choose One:*

New MemberPast Member
Choose Your Interest:*

Sprints (100m, 200m, 400m)Middle Distance (800m, 1500m)Long Distance (3000m)Racewalk (1500m, 3000m)Hurdles (80m, 100m, 110m, 200m, 400m)Jumps (long and high jumps)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Information
Full Name:*

First NameLast Name
E-mail:*
Phone :*

Area CodePhone Number
Emergency Contact Information
Name:*

First NameLast Name
E-mail:*
example@example.com
Phone:*

Area CodePhone Number
Relationship to Athlete?

MotherFatherGrandparentAuntUncleOther

Parental Consent & Waiver Form
I confirm:

1) My child is physically healthy and able to participate in the events as a track team member.

2) My child, if injured or ill earlier in the season, is now physically fit to participate in such activities according to his/her physician.

3) CORAL SPRINGS BLAZERS TRACK CLUB administration is aware of any conditions, such as asthma, that my child suffers, and my child will be responsible for carrying any necessary medical devices (such as an inhaler).

4) Always at the site of such events, in case of a real emergency, I hereby authorize the local hospital, doctor or other license medical practitioner, and Emergency Medical Treatment personnel, to take what he/she believes are the correct procedures as an aid to my child’s health and well being. This permission is extended, as necessary, to CORAL SPRINGS BLAZERS TRACK CLUB. If I am present and available at the site and time of a medical emergency, I will retain my right to decide medical treatment for my child.

5) I give my approval and consent to my child to participate in the Club activities during this season. I assume all risks and hazards incidental to such club activities. I hereby release, absolve indemnity and agree to hold harmless the team, board, organizers, coaches, supervisors, other participants or persons transporting my child to/from club activities and the CORAL SPRINGS BLAZERS TRACK CLUB from any claim arising out of injury to my child.

6) I have read and understand fully all the club rules and policies. I understand and agree that I waive my rights, and the rights of my child, to any claim arising out of his/her participation in practice, competitions, fundraisers or activities for the current track and field season. I also forever release and agree to hold harmless the coaching staff, administrators and CORAL SPRINGS BLAZERS TRACK CLUB for any injuries arising out of or anyway connected to participation in such activities.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date

Registration Payment
Athlete Fees*
prevnext( X )
New Member (Regular Season)$150.00
Registration includes uniform, t-shirt, bag and training. Track meet fees are not included.

Quantity

New Member Sibling Discount (Regular Season) $140.00
Registration includes uniform, t-shirt, bag and training. Track meet fees are not included.

Quantity

Past Member (Regular Season) $135.00
Registration includes uniform, t-shirt, bag and training. Track meet fees are not included.

Quantity

Past Member Sibling Discount (Regular Season) $125.00
Registration includes uniform, t-shirt, bag and training. Track meet fees are not included.

Quantity

Total $0.00
Note: Once you have registered you will receive an invitation to the app TeamSnap. Please download the app. This is how you will communicate with the team.
Should be Empty:

Coral Springs Blazers Registration

Parent/Guardian Information

Emergency Contact Information

Medical Information

Parental Consent & Waiver Form

Uniform

Registration Payment