TRACKIE - Online registration for events, tournaments, clubs and organizations...

Prénom *

Nom *

Sexe *

Homme Femme

Date de naissance (AAAA *-MM-JJ)

/ /

Citoyenneté *

Pays de naissance *

Athlete Email:

Athlete Phone Number:

Parent / tuteur *

Parent/Guardian Relation to Athlete: *

Courriel du parent / tuteur * Recevoir des courriels

Parent/Guardian Phone Number: *

Emergency Contact Name: *

Emergency Contact Phone Number: *

Doctor's Name:

Doctor's Phone Number:

Health information or medications the club should be aware of:

Has the athlete trained for Track & Field or Cross-Country with their school? *

Has the athlete trained for Track & Field or Cross-Country with a track club before? *

Is Track & Field the athlete's primary sport? *

Has the athlete trained with Pearlgate before? If yes, with what group? *

If the athlete trained with Pearlgate before, when were they last consistently attending practices? *

Has the athlete ever made Team NL for Track & Field? (Legion Youth Nationals or Canada Games) *

Type d’adhésion *

Program *

J’ai lu et accepte les conditions *
WAIVER & RELEASE OF LIABILITY

J’ai lu et accepte les conditions *
MEDICAL RELEASE

J’ai lu et accepte les conditions *
PHOTO RELEASE

J’ai lu et accepte les conditions *
The Works Fieldhouse Track Access

Signature numérique (doit correspondre exactement au « registrants name ») *

2025 Athlete Memberships: Pearlgate Track & Field Club