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2024 Winter Strength & Conditioning Training
ATHLETE INFORMATION
*
First Name:
*
Last Name:
Street:
City:
State:
Zip Code:
Home Phone:
Birthdate:
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Email:
Gender:
M
F
Grade:
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PARENT/GUARDIAN #1
Firstname:
Lastname:
EMail:
Home Phone:
Work Phone:
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Athlete:
Registration Fee (Gym Monthly Fee is Separate):
1 Athlete - $150.00
2 Athletes - $300.00
3 Athletes - $400.00
Check box if the athlete will be enrolling with Fitness Quest
Check box if the athlete will be training at another facility
WAIVER INFORMATION
The athlete must review and sign the PNTF Concussion form. For athletes under 18, parents/guardians must also sign the form. This form must be completed each calendar year and submitted to Auburn Elite prior to the first day of participation.
The form is available under the Registration Tab under "Handouts."
REGISTRATION FORM AGREEMENT
By submitting this form, I am requesting to register the athlete named above for the Auburn Elite Track Club Winter Strength and Conditioning Training. 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 above
*
Electronic Signature:
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2025
* indicates required fields