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Broward Elite Athletic Club Registration 2024
Please complete the registration form for the Broward Elite Athletic Club. You must also have a current USATF Membership (Broward Elite Club 14-1439) & enter it on this form.
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* Indicates required question
Athlete's First Name
*
Your answer
Athlete's Last Name
*
Your answer
Athlete's Address
*
Your answer
Broward Elite Membership
*
Returning Member
New Member
School (2023-24 school year)
*
Your answer
Grade for next year (2024-25 school year)
*
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Which events are you interested in?
*
Sprints
Hurdles
Long/Triple/High Jump
Pole Vault
Multi Events (Decathlon, Heptathlon)
Distance/Cross Country
Javelin
Hammer
Other Throwing Events
Required
What program are you signing up for?
*
Cross Country/Summer Distance Program
Elite Track & Field (5-6 days a week)
Emerging Elite Track & Field (3 days a week)
Youth Camp (weekly program)
Required
USATF Membership Number (must be active)
*
Your answer
Parent #1 Name
*
Your answer
Parent #1 Cell
*
Your answer
Parent #1 Email
*
Your answer
Parent #2 Name
*
Your answer
Parent #2 Cell
*
Your answer
Parent #2 Email
*
Your answer
Athlete's Email
*
Your answer
Athlete's Cell
*
Your answer
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