473 MVP Track Club

Option 1: Fill out this form online and submit - we'll automatically generate a PDF and email it to the club.

Option 2: Download the blank form to print and fill out manually.

Membership Type:

Athlete

Parent

Sponsor

Supporter

NAME:

SURNAME:

GENDER:

Male

Female

DATE OF BIRTH:

ADDRESS:

PHONE:

EMAIL:

AGE:

MEDICAL CONDITIONS:

HEIGHT:

COVID VACCINATION:

Yes

WEIGHT:

DOCTOR'S CLEARANCE TO TRAIN:

Yes

SCHOOL:

GRADE/FORM:

EVENTS TABLE:

MOTHER/GUARDIAN:

ADDRESS:

PHONE:

EMAIL:

FATHER/GUARDIAN:

ADDRESS:

PHONE:

EMAIL:

PARENT/GUARDIAN SIGNATURE:

DATE: