Butler Catholic Athletic Association - (Butler, PA)

BCS Spring Track/Field Registration Form

Use this form to register for BCS Track and Field. NOTE: Registration closes on 02/21/2026.

******You will be billed through FACTs. You will not make a payment on the website******

PLAYER INFORMATION

* First Name:

* Last Name:

* Birthdate:

* Gender:

* Grade (In Spring of 2026):

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* E-Mail:

Cell Phone:

PARENT/GUARDIAN #2

First Name:

Last Name:

E-Mail:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION (Provide a contact other than parents/guardians)

NOTE: In the event of an emergency, the parents/guardians will always be contacted first. The Emergency Contact will be used ONLY if the parents/guardians CANNOT be reached.

* Emergency Contact (Must be a legal adult OTHER than Father/Mother/Legal Guardian:

* Phone:

* Relationship to Player:

Certification of Medical Examination

I/We acknowledge that a current Physicians Release Form and a copy of the Physical are on file at the BCS office. A Physicians Release and Physical are considered current up to one year following the date of last examination. If the Physicians Release and Physical expires in the middle of the sports season, the child MAY NOT continue participation in the sport until an updated Physicians Release form and copy of the Physical are turned into the BCS office. I/We acknowledge that it is solely the parents/legal guardians responsibility to keep an up to date Physicians Release Form and Physical on file at the school.

Physical Form
https://www.butlercatholic.org/wp-content/uploads/2014/11/Athletic-Medical-Form.pdf

Physicians Release Form
https://www.butlercatholic.org/wp-content/uploads/2014/11/Physicians-Release.pdf

By checking the box and signing below, your electronic signature represents that you have read and will comply with the above.

I/we agree to comply with the above Statement *

* Electronic Signature:

Are there any health related issues concerning your child's participation in athletics? Information entered in the box below will be provided to the coaching staff. If there are no health related issues please enter "NONE" in the box below.

* Please enter any specific health issues:

**REMEMBER to click the "SUBMIT FORM" button at the bottom of the screen once you have completed the form. You will receive an email confirming your registration.**

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