ELITE & NOVICE REGISTRATION FORM
Thank you for your interest in spring track and field.

You will NOT be charged at this time. Coach Michelle and Coach Phil will follow up. We accept Zelle, Cash App or Venmo.

Every athlete must have a completed form in order to participate in any practice.

One final thing: We will request a copy of your athlete`s birth certificate. The USATF requires it to run in their sanctioned track meets.

Bergen County Xpress Track Club does not limit participation in its activities on the basis of disability, race, color, national origin, gender, or religious preference.
FAMILY CONTACT INFORMATION
E-Mail:*
2nd Optional E-Mail:
Relationship*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:
Zip Code:*
Home Phone:*
EMERGENCY PHONE*
NUMBER TO REC. TXT MESSAGES*
2nd OPTIONAL NUMBER TO REC. TXT MESSAGES
ATHLETE 1 INFORMATION
First Name:*
Last Name:*
Date of Birth:*
 
Gender:*
   Boy    Girl 
Relevant Medical Information
Are there restrictions that prevent this athlete from training / competing on Saturdays or Sundays?*
   YES    NO 
ATHLETE 2 INFORMATION
First Name:
Last Name:
Date of Birth
 
Gender
   BOY    GIRL 
Relevant Medical Information
Are there restrictions that prevent this athlete from training / competing on Saturdays or Sundays?
   YES    NO 
PICK THE NEXT STEP. Almost done!
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