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. |
$60.00 |
Athlete's Name | ||||
---|---|---|---|---|
Birth Date |
|
|||
Parents' Names | ||||
Street Address | ||||
City, State ZIP | ||||
Day Phone | ||||
E-mail(s) |
Signature of Parent | Date | Amount Paid | Check # |
Athlete Name |
Birthdate |
||
Address |
Home Phone |
||
Include ZIP |
|||
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: |