Registration form Cross Country

Online Registration for Cross Country 2023

Athlete Name

Parent Name

Secondary email (optional)

Address

Contact Phone Number

Athlete Birthdate

Does the athlete have any medical conditions or allergies? If so, please provide details below or enter N/A

I give permission for my child as named above, to participate in the Brockville Legion Track and Field Program

I give permission for my childs image to be used in social media and club website images.

I understand that as part of belonging to Brockville Legion Track and Field, each member family is expected to partcipate in volunteer fundraising through support for club run meets and Bingos. Sign ups for these events are made available regularly. Upon registration, a post dated cheque for the end of the 2023 season must be provided to the Head Coach. If this voluneer commitment is not meet, this cheque will be cashed Dec 1 2023. Bingo and/or meet commitment must be fullfiled a minimum of once per year. Cheques are returned upon commitent completion and are only submitted once per year.

Thank you for filling out the registration form!

Please note that your registration is not complete until payment is received. $100 is payable via etransfer to brockvillelegiontrack@gmail.com, cheque or cash.

We look forward to seeing you at practice!

Thanks for submitting!