Spring Track 2022 Registration

Spring 2022 Track And Field Early registration begins Monday, December 20- January 13 2022, 6:00 - 7:00 p.m.

The registration form is available . You can also contact MariettaTrackClub@ gmail.com for a PDF version.
  • On  Thursday Stacey Lester will be at the top of the Kennesaw mountain High School track bleachers from 6:30 - 7:30 p.m. to accept registrations forms.
  • Spring 2022 Track And Field practice begins Monday, January 13, 2022
  • Spring 2022 Track And Field Early registration fee is $250.00 and covers uniforms, meet fees & t-shirt.
  • After January 13, 2022 Fee $300.00
  • Payment accepted as cash, check, or money order or 
  • cash app - ($mariettatrackclub1) 



MARIETTA TRACK CLUB


Athlete (s) Information (PLEASE USE NAME ON Birth CERTIFICATE)

(#1) First Name: __________________________________

 Last Name: ______________________________

Age: ______ Date of Birth: ______________ Gender M - F   Athlete Phone: ____________________
 Youth-S________ YM_______ YL_______ YXL_________
Adult-S_______AM_______ AL______ AXL______AXXL_________
Home Address: ___________________________ City: ____________________ St: ____
Zip: ______________
(#2) First Name: __________________________ Last Name: _____________________________
Age: ________ Date of Birth: _______________ Gender: M   F    Athlete CELL: ________________
  Youth-S____ M____ L____ XL____ YXL_____
Adult-S ______M______L_____XL________
Home Address: ____________________________ City: ____________________ St: ____
Zip: ____________

Parent/Guardian Information
First Name: ______________________________ Last Name: ________________________________
Relationship to Athlete: ______________________ Cell : __________________________________
Email: ____________________________________________
First Name: _________________________________ Last Name: _____________________________
Relationship to Athlete: _______________________ Cell : ________________________________

Email: ______________________________________________________________________________

 Emergency Contact
First Name: ______________________________ Last Name: ________________________________

Relationship to Athlete: _______________________ PHONE # ______________________________
First Name: ______________________________ Last Name: _______________________________

Relationship to Athlete: _______________________ PHONE # ______________________________

Medical Information
Primary Care Physician: _____________________________________________________________

Allergies: _________________________________________________________________________

Current Medications: ________________________________________________________________

Please list any medical conditions we should be aware of to help your child enjoy the sport.

__________________________________________________________________________________

To the best of my knowledge, there are no physical or other conditions, which will interfere with my

Child’s participation. I certify that my child has had a medical examination within the last 12 months and, in the physician’s opinion, is physically capable of completing the sports or activities for which he/she has registered for.

Signature______________________________________________________________________


Early Registration fee ($250.00) per athlete for the 2022 SPRING Track Season (No Refund After 1st Day of Practice).
After January 13, 2022 Fee $300.00

 This fee covers the cost of the – Uniforms -T-Shirt,  Meet Fees.
Payment Information   Marietta Track accepts
 Cash, Money Order, Checks, ------- Made payable Marietta Track Club
Cash App ($mariettatrackclub1)

http://mariettatrackclub.blogspot.com/ (Website)

*Additional required documentation:
 Please submit a copy of the athlete Birth Certificate to - mariettatrackclub@gmail.com


No comments:

Post a Comment