Auburn Elite Track Club - (AUBURN, WA) - powered by LeagueLineup.com

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Athlete Registration

ATHLETE INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

Cell Phone:

Home Phone:

* Birthdate:

* E-mail:

* Gender:

* Grade:

USATF MEMBERSHIP NUMBER:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* E-Mail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

First Name:

Last Name:

Email:

Home Phone:

Work Phone:

Cell Phone:

Registration Fees (Discounts for Siblings) for 4 Months of Training:

By submitting this form, I am requesting to register the athlete named above with the Auburn Elite Track Club. I agree to adhere to all club rules and acknowledge that all required fees must be paid in order for registration to be complete. I also understand that registration is subject to approval by the Auburn Elite Track Club.

I/we agree with the conditions stated above. *

* Parent/Guardian Electronic Signature:

* Electronic Signature Date:

* indicates required fields