Heavenly Track Club

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2017 HEAVENLY TRACK CLUB NEW ATHLETE & PARENT QUESTIONNAIRE

ATHLETE INFORMATION

* First Name:

Middle Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

Height:

Weight :

Email:

* Gender:

Grade:

Other School Sports/Hobbies:

MOTHER/FATHER/PARENT/GUARDIAN #1

* Firstname:

* Lastname:

EMail:

* Home Phone:

Work Phone:

Cell Phone:

MOTHER/FATHER/PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL INSURANCE COVERAGE

Yes

HOW DID YOU FIND OUT ABOUT THIS TEAM/CLUB

HTC Member

Reason for wanting to participate with our Team/Club::

Friend

Other

List below anyone you know on the Team/Club:

TRACK & FIELD EXPERIENCE

Events: Best Mark: Date: Meet Location: Team/ Club::

Event:

Best Mark:

Event:

Best Mark:

Event:

Best Mark:

Event:

Best Mark:

CAN YOU AS AN ATHLETE AND PARENT CONFORM TO THE FOLLOWING CODE OF CONDUCTS

*Exemplify the highest moral character, behavior and leadership, adhering to strong ethical and integrity standards.
*Practice good citizenship and practice good sportsmanship!
*Ensure all Team/Club funds (fundraiser & etc.) are managed according to acceptable accounting practices and procedures.
*Respect the integrity and personality of all athletes.
*Be a Team Player.
*Respect the integrity and wisdom of the Coaches', Volunteers, and Officials. The Coaches', Volunteers, and Officials will be doing their best to help promote you and your track event. Treating them with respect, even if you disagree with their judgment, will only make a positive impression of you and our club in the eyes of the officials and all the people at the event.
*No alcohol or illegal substance of any kind.
*No use of off color language or profanity.
*No scuffing or fighting.
*Treat opposing Athletes, Coaches, Spectators and Support Groups with respect and enthusiasm.
*Accept and understand the seriousness of your responsibility, and the privilege of representing your family, the Heavenly Track Club, and the community.
*This is by no means a definitive list.
*The Amateur Athletic Union, Texas Amateur Athletic Federation, USA Track & Field, University Interscholastic League and USOC/USATF Safe Sport code of conducts will also be enforce.
*Use your best behavior in all situations.

I/we agree with the above *

Signature:

Date:

Signature:

Date:

* indicates required fields

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2017 HEAVENLY TRACK CLUB NEW ATHLETE & PARENT QUESTIONNAIRE