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MOBettah TC Registration Quick Form
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Parent Name
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Phone Number
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Email
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Address
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City, State and Zip Code
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Child's Name
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Child's D.O.B.
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Emergency Contact Name, Address and Number
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Health History
Allergies or Hay Fever (Clarify______________________________________)
Mumps, Chicken Pox or Measles
Any chronic or recurring illnesses (_________________________________)
Operations or serious injuries (Dates_____________________________)
Other
Comments ______________________________________________________________________________
ENROLLMENT TERMS
Membership fee is non-refundable and to be paid prior to meet participation.
Parent/Guardian must inform organization of medical condition.
Parent/Guardian is responsible for transportation of child to events.
Uniforms will be the financial responsibility of the parent.(Link:
https://stores.inksoft.com/mobettah_track_club/shop/home
)
Parents must obtain an AAU Card – (going to
aausports.org
– join aau – Get Membership – Apply for Youth Athlete Membership – Fill out the application. Sport is track and field and team code is W353FW.
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Registration can be paid by cashapp - $Mobettahinc or cash.
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