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2023 NSRC Youth Runner Registration
Please complete the following information for your child. If you are registering more than one child, please complete a separate form for each youth participant.
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* Indicates required question
Email
*
Your email
Child's Name (First, Last) (Nombre del Participante)
Your answer
Your Child's Email Address (if they have one) La dirección de correo electrónico de su hijo (si la tienen)
Your answer
Parent/ Guardian Name(s); (Nombre del Padre/Madre/Guardián)
Your answer
Age of Participant (Edad del Participante)
Your answer
Birthdate (Fecha de Nacimiento)
MM
/
DD
/
YYYY
Home Address (Dirección del hogar)
Your answer
Phone Number (Número de teléfono)
Your answer
Grade in School (Grado en escuela)
Your answer
School (Escuela del Participante)
Your answer
Shirt Size (Talla de Camisa)
Youth Small
Youth Medium
Youth Large
Youth X Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult 2X Large
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Does your child have any medical conditions or allergies that we should know about? If yes, please list below. ¿Su hijo/a tiene alguna condición médica o alergia que debamos conocer? Por favor escriba aquí.
Your answer
I understand that it is recommended and my responsibility to check with My Child's primary care or medical provider to ensure that they are medically cleared to participate prior to the start of participation with NSRC. / Entiendo que se recomienda y es mi responsabilidad consultar con el proveedor médico o de atención primaria de mi hijo/a para asegurarme de que tengan autorización médica para participar antes de comenzar a participar con NSRC.
Yes, I understand, Si, yo entiendo.
No
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Please download and read the Youth Participant Assumption of Risk and Release of All Claims Waiver. By clicking "I agree" below, you are electronically signing and agreeing to the information within. (Asunción de Riesgos y Renuncia de Demandas Legales). Click here to download:
https://drive.google.com/open?id=12KN4YalcBTfe95V6m3PCLLt5WaVq_U4r
*
I have accessed the manual AND agree to all policies and procedures within
I have not accessed the manual and/or do NOT agree to the policies and procedures within /
He accedido al manual Y estoy de acuerdo con todas las políticas y procedimientos incluidos.
No he accedido al manual. No estoy de acuerdo con las políticas y procedimientos incluidos.
A copy of your responses will be emailed to the address you provided.
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