2019 Online Registration

PLAYER INFORMATION
PARENT/GUARDIAN #1

PARENT/GUARDIAN #2
MEDICAL/EMERGENCY CONTACT INFORMATION
We understand there are certain risks involved in participating in track and field with the Mercury Track and Field Club, the Amateur Athletic Union(AAU), and USA Track and Field (USA T&F)sanctioned events and I voluntarily assume all such risks. In consideration of acceptance of this athletes participate form, I intending to legally bond, do hereby, for myself, the athletes, coaches, and administrators, waive, release and forever discharge any and all rights and claims for damages/injuries which may have or may hereafter accrue to the athletes against the Mercury Track and Field Club.*THERE WILL BE NO REFUNDS OF CLUB FEES OR UNIFORM FEES AFTER MARCH 18, 2019.*
WAIVER INFORMATION
Signature:
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