SJA Fall Cross Country Registration- 2023
Please fill out the following form to enroll your child in the program.
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Email *
Grades 1st-2nd: $40 per child.  Grades 3rd-8th: $50 per child
CHECKS ONLY!! Please make all checks payable to " SJA TRACK AND FIELD". All payments are due by September 21, 2023.
Athlete's Full Name *
Gender *
Athlete's Date of Birth *
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/
DD
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YYYY
Please select one option *
Athlete's Grade *
Parents/Guardians Full Name *
Primary Contact's Cell Phone *
Primary Contact's Email address *
Emergency Contact Person's Name, Phone #, Email, Relation to child *
Secondary Contact Name, Email and Phone #
ATHLETE BEHAVIOR AGREEMENT. Athletes must conduct themselves in an appropriate manner at all times, listen to directions, adhere to safety rules, and put in an effort at each practice. Gum chewing, cell phone use, and horseplay will not be tolerated. If there is continuing instances of unacceptable behavior, your child will be removed from the team. *
Required
Pertinent Medical Information (This will be confidentially noted) *
If you answered "Yes" to the question above, please provide details below. Please mention if your child may need to use any medication during practice. If carrying along, exact site of storage (bag/pocket etc).
For any further information, Please contact Coach Shivani D.
 Reach at 908-400-8856 (cell) or Email: stjohnruns@gmail.com. For more details please visit our website www.leaguelineup.com/stjohnruns.
A copy of your responses will be emailed to the address you provided.
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