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Fast Lane Track Club
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Consent and Release Forms
*
Athlete's Name:
Consent and Release
I hereby give my consent for the above named child to participate in practices, track and field events, travel and other activities sanctioned, sponsored and/or attended by the Fast Lane Track Club and the USATF/AAU. I hereby indemnify and hold harmless the Fast Lane Track CLub, Board of Directors, Head Coaches, Coaches, Staff, Volunteers and Chaperones against any and all rights and claims which I have or which may arise in conjunction with my and my child's participation or travel to and from practices, track and field events and/or othe activities sanctioned, sponsored and/or attended by the Fast Lane Track Club and the USATF/AAU. I also agree to abide by the rules of the Fast LAne Track Club and understand that all fees are non-refundable.
I agree to the above statements
*
Parent/Guardian Electronic Printed Signature:
*
Date Electronically Signed:
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Medical Information / Waiver / Consent & Release for Emergency Treatment
Please list any health problems or preexisting conditions that may limit your child's training or activity level:
Please list any allergies your child has and any medications that he/she is taking:
I hereby authorize a club representative of Fast Lane Track Club to seek and sign for medical treatment for my child, a member of said club, in an emergency situation. I also authorize that the same representative be allowed to sign for medical treatment innon emergency situations when my child is traveling with the club or when I am unable to be reached by phone. I also understand that I am responsible for all costs associated with the treatment of my child. I also agree for myself, my Heirs and personal representatives to waive and release all claims for damages I may now or hereafter have arising out of the above named person's participation in any activities of Fast Lane Track Club. I further state that to my knowledge, the applicant has no health problems or preexisting conditions, not previously mentioned that limit his/her training or activity level.
I agree to the above statement
*
Parent/Guardian Electronic Printed Signature:
*
Date Electronically Signed:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
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2012
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2020
Athlete Photo/Media Release
The Fast Lane Track Club has my permission to take and use my child's photographs, digital images and video images for official club purposes such as, but not limited to media press releases, postings on our website, newsletters, flyers, brochures, etc.
I agree and give my consent to the above statement
I disagree and do not give my consent for the above statement
*
Parent/Guardian Electronic Printed Signature:
*
Date Electronically Signed:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
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11
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25
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27
28
29
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31
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
*
Parent Email Address for Confirmation:
* indicates required fields