ARLINGTON ELITE REGISTRATION FORM Participant Name * First Name Last Name Birthdate * MM DD YYYY Parent/Guardian * First Name Last Name Phone * (###) ### #### Email * Choose A Package * Please select 1 package option. Cash or Check payments are accepted. Must pay before the first meet. TRACK EXPERIENCE - $400 TRAINING EXPERIENCE - $330 Release, Waiver and Authorization for Training I, THE UNDERSIGNED PARENT/ LEGAL GUARDIAN OF * , AUTHORIZE SAID CHILD'S PARTICIPATION IN ARLINGTON ELITE RUNNING CLUB, IN AND FOR CONSIDERATION OF MY CHILD’S PARTICIPATION IN THE ARLINGTON ELITE RUNNING CLUB, I HEREBY AGREE THAT I WILL NOT HOLD ARLINGTON ELITE RUNNING CLUB, THE STAFF, OR ITS EMPLOYEES RESPONSIBLE FOR ANY LOSS, DAMAGES, OR PERSONAL INJURIES HE/SHE MAY RECEIVE AS A RESULT OF PARTICIPATION. THIS WAIVER OF LIABILITY EXPRESSLY INCLUDES CLUB ACTIVITIES, OR WHILE IN, ON OR UPON THE PREMISES WHEREBY THE ACTIVITY IS BEING CONDUCTED AND TRANSPORTATION TO AND FROM, OR IN CONNECTION WITH SAID CLUB. I ALSO UNDERSTAND THAT I SHOULD MAKE SURE MY CHILD IS COVERED IN THE EVENT OF A SERIOUS ACCIDENT. I ALSO GIVE MY PERMISSION FOR ANY EMERGENCY CARE AND/OR TREATMENT BY A PHYSICIAN, SURGEON, HOSPITAL OR MEDICAL CARE FACILITY THAT MAY BE REQUIRED, AND ACCEPT THE RESPONSIBILITY FOR THE COST. PARENT / LEGAL GUARDIAN NAME * SIGNATURE * DATE * I AGREE TO FOLLOW ALL INSTRUCTIONS AND PROCEDURES IN ORDER TO MAINTAIN A MAXIMUM LEVEL OF SAFETY. PARTICIPANT’S SIGNATURE * DATE * Registration is complete! Please provide your method of payment on or before the first day of practice.Thanks
