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1The Sonic Track ClubMEMBERSHIP APPLICATION 2008

Birth Certificates _______

MEMBER INFORMATION

Name_____________________________________ Birth Date_______________Sex____Last First Initial Month/Day/Year M / F

Address__________________________________________________________Number Street

__________________________________________________________

City State Zip Code

Home Phone (_____)______________Cell Phone (_____)________________Area Code Number Area Code Number

E-mail Address______________________________________

2008 Age Groups

AAU USATF

Primary - Born 2000 and after Bantam- 1998 and under

Sub-Bantam - Born 1999 Midget- 1996-1997

Bantam- Born 1998 Youth - 1994-1995

Sub-Midget - Born 1997 Intermediate - 1992-1993

Midget - Born 1996 Young men/women- 1990-1991

Sub-Youth - Born 1995

Youth - Born 1994

Intermediate - Born 1992-1993

Young Men/Women - born 1990-1991

Parent/Guardian Information

Fathers Name _______________________ Home Phone ___________ Work Phone ___________

Mothers Name ______________________ Home Phone ___________ Work Phone ___________

Guardians Name _____________________ Home Phone ___________ WorkPhone_____________

Other Emergency Contact _______________ Home Phone ___________ Work Phone

_____________

Release and Waiver and Medical Information & ReleaseList Members Illnesses, Physical Conditions, Allergies, etc. (For example, Asthma)

_______________________________________________________________________(If none, please write NONE.)

8/14/2019 The Sonic Track Club membership application

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I certify and attest that the above-named Member is physically fit and able to participate inthe activities of The Sonic Track Club; and that his or her physical condition and ability toparticipate in the activities of The Sonic Track Club have been determined by a licensedmedical doctor. The only physical conditions, illnesses, allergies, etc. which the above-namedMember has are stated above on this form and those physical conditions, illnesses, allergies,

etc. have been determined by a licensed medical doctor to be not such as would make itdangerous or inadvisable for him or her to train, compete, or participate in the demandingphysical activities of The Sonic Track Club. In exchange for acceptance of this application forthe Member named herein, on his or her behalf and on behalf of his or her heirs, executors,administrators, and assigns, I release, discharge and agree to hold harmless The Sonic TrackClub, its officers, trustees, organizers, coaches, supervisors, sponsors and other agents fromall claims that I or said Member may have or come to have for damages and causes of actionarising out of said Members participation in the activities of The Sonic Track Club. Thisrelease applies to all Sonic Track Club activities, including travel to and from said activities.

Fathers Signature AND Mothers Signatureor Guardians Signature or Guardians Signature

_________________________ _______________________

Date ___________________ Date ___________________

Individual Membership may be obtained by joining online

USATF apply online www.usatf.orgAAU apply online www.aausports.org

I have read this membership information and have received a copy of thecurrent Sonic Track Club Member and Parent Handbook:

Parent/Guardian Signature __________________ Date ____________

______ Attached is a photocopy of this Members birth certificate (required to practice andcompete in meets).

Please send all pertinent information to:

The Sonic Track Club

c/o Matt and Karen Cromwell

713 Meadowview Drive

Celina, OH 45822

Once completed registration materials have been reviewed, you will be contacted with more

details regarding the first practice. For questions call 419-584-0495.

http://www.usatf.org/http://www.usatf.org/http://www.aausports.org/http://www.aausports.org/http://www.usatf.org/