2021 Missoula Youth Track Club Coach Information Form
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Email *
First Name *
Last Name *
Phone Number *
Team Number *
Please pick which team you would like to coach. The age group and gender of the athletes you would be coaching are listed. The number of remaining coaching spots for that team is also listed. If you would like to coach with a friend please make sure you sign up for the same team as we will not allow coaches to switch teams.
High School attending *
Acknowledgment and Release
I acknowledge that participation as a coach in the Missoula Youth Track Club is potentially a hazardous activity. These hazards include (but are not limited to) dehydration, sprains, strains, broken bones, head injury and heart failure. I understand the Missoula Youth Track Club provides no medical coverage for participants. Being fully cognizant of this and the risks involved in my child’s participation, I release and forever discharge Missoula Youth Track Club, its volunteer organizers, instructors, officials and coaches from any and all manner of actions, suits, damages, claims, or demands whatsoever in law or equity, or otherwise, which I, my child, or either of our heirs, executors or administrators can, may have by reason of any injury that my child may sustain while participating in Missoula Youth Track Club. As the parent or legal guardian of the above named child, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine, as reasonably necessary to preserve life, limb or well-being of my dependent. I, as the parent or lawful guardian of my child, represent that the details concerning my child in this application are true, accurate and complete. By signing I give my permission for my child to participate, subject to the terms herein assuming all risk of injury.


Parent's Electronic Signature (If Under 18)
Parents, type your full name here if you have read and accept the above release for your child
Coach's Electronic Signature *
Coach's, type your full name here if you have read and accept the above release
COVID-19 Precautions *
By checking the three boxes below I understand and agree to the following items: 1) Everyone will be expected to wear face coverings at all times while at any MYTC practice or event. 2) I will not come to any MYTC practice or event if I (or someone in my family unit) am experiencing any of the following symptoms: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea.
Required
A copy of your responses will be emailed to the address you provided.
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