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

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Citizenship *

Birth Country *

Athlete Email:

Athlete Phone Number:

Parent/Guardian Name: *

Parent/Guardian Relation to Athlete: *

Parent/Guardian Email: * Opt in to emails

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) *

Membership type *

Program *

I have read and agree *
WAIVER & RELEASE OF LIABILITY

I have read and agree *
MEDICAL RELEASE

I have read and agree *
PHOTO RELEASE

I have read and agree *
The Works Fieldhouse Track Access

Digital signature (type your name exactly as entered above "registrants name") *

2025 Athlete Memberships: Pearlgate Track & Field Club