Youth Membership Form

Recommended ages to join the SCTC youth club are from 7 to 14 years. Younger than 7 will need a parent or sibling near by, older than 14 is great for those kids in home school.

Track Membership

This is for the Track season only. February through June.
This includes a T-shirt.

$60.00

Athlete's Name

 
Birth Date
 MaleFemale

Parents' Names

 

Street Address

 

City, State ZIP

 

Day Phone
Evening Phone

 

E-mail(s)

 
Signature of Parent Date Amount Paid Check #



Emergency Information Card

Athlete Name

 

Birthdate

 

Address

 

Home Phone

 

Include ZIP

 

e-mail

 

Mothers Name

 

Work phone

 

Fathers Name

 

Work phone

 
List health conditions (allergies or other physical conditions)      


In an emergency, when we cannot be contacted, the SCTC authorities have our permission to use their best judgment in the interest of our child's health and welfare. The SCTC assumes no financial responsibility. If emergency service involving medical action or treatment is required and the parent cannot be reached for consent, the parent hereby consents to the rendering of such emergency medical services for the above named student as shall be necessary in the opinion of the medical staff rendering the service.

Name of Medical Insurance:

 

Policy Number:

 

Signature and date of Parent or Guardian:

 

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