Date *
Date
Athlete Name *
Athlete Name
Athlete's Home Address *
Athlete's Home Address
Athlete Birthdate *
Athlete Birthdate
Gender
Athlete's School *
Athlete's Graduation *
Athlete's Cell Phone *
Athlete's Cell Phone
Parent/Guardian #1 Cell Phone *
Parent/Guardian #1 Cell Phone
Optional. Please share with us if you would like to volunteer with the club and any special skill sets you might have.
Parent/Guardian #2 Cell Phone
Parent/Guardian #2 Cell Phone
Optional. Please share with us if you would like to volunteer with the club and any special skill sets you might have.
Program Fees *
Race Fees *
Terms, Conditions, and Waivers *