Lakeland Yellowjackets 2021 - 2022 Registration

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Email *

Athlete's Name *

Address *

Home Phone *

Cell Phone / Alternate Contact Number *

Primary Email Contact *

Secondary Email Contact (not mandatory)

Athlete's Date of Birth *

YYYY

Parent / Guardian #1 *

Parent / Guardian #2

Any medical conditions we should be aware of? *

As a parent or guardian of the above athlete, I grant the Lakeland Yellowjackets Athletics club permission to use the athlete's name and other information for team lists, place photos and meet results of the athlete on the LYJ and Athletics Alberta websites, and publish photos and meet results with local media outlets. *

Yes

Is the athlete interested in competing at indoor meets this year? *

Yes

Maybe

To help us plan for the season, please select which events most interest the athlete: *

Sprints

Long Jump

Triple Jump

Shot Put

Weight Throw

Hurdles

Long Distance Running

Required

Are you or someone you know available to help train our athletes? Coach Godziuk plans the training, we simply need responsible adult(s) to be with the athletes and tell the kids what to do next. Essentially, you carry out the plan and help our athletes have fun. We do need a weekly commitment, even if you can help only 1 day/week. Please let us know by leaving your name and contact number.

Send me a copy of my responses.

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