2023 Registration for Sponsored Athletes

2023 OTM Track Club Registration for Sponsored Athletes

This form is ONLY for athletes who have been sponsored by a business.

Name of and Contact Info for Sponsoring Business

(#1) First Name of Athlete

(#1) Last Name of Athlete

(#1) Birthday

(#1) Age of Athlete as of 12/31/23

(#1) School

(#1) During the FIELD EVENT portion of practice, this athlete would like to train in the following:

(#1) Medical Information

I am registering another athlete in my family

(#2) First Name of Athlete

(#2) Last Name of Athlete

(#2) Birthday

(#2) School

(#2) Age of Athlete as of 12/31/23

(#2) During the FIELD EVENT portion of practice, this athlete would like to train in the following:

(#2) Medical Information

I am registering a third athlete in my family

(#3) First Name of Athlete

(#3) Birthday

(#3) School

(#3) Last Name of Athlete

(#3) Age of Athlete as of 12/31/23

(#3) During the FIELD EVENT portion of practice, this athlete would like to train in the following:

(#3) Medical Information

I am registering a fourth athlete in my family

(#4) First Name of Athlete

(#4) Birthday

(#4) School

(#4) Last Name of Athlete

(#4) Age of Athlete as of 12/31/23

(#4) During the FIELD EVENT portion of practice, this athlete would like to train in the following

(#4) Medical Information

Parent/Guardian Name

Email Address

Additional Email Address (ie spouse)

Phone Number

Additional Phone Number (for emergency purposes)

CLICK HERE to sign up to volunteer at the 2023 Mary Birdwell Memorial Meet

Any additional info you'd like our coaches to know

Interested in attending special sessions a 5:30 prior to practice?

Yes - on Tuesdays

Yes - on Thursdays

What "other" special sessions would you like to see us offer?

The participant(s) and parent(s) accept these terms and conditions: No profanity,fighting, violent behavior, or disrespect will be tolerated. No athlete will be permitted to practice without proper running attire. No parental interference while athletes are practicing, without prior approval from OTM Track Club coaches. No use of tobacco products or alcohol is allowed by any family members on the grounds of OTM Track Club practices and meets. Failure to abide by these rules and regulations is grounds for disciplinary actions: First offense: verbal warning; Second offense: suspension from the team; Third offense: expulsion from team (parents & athletes forfeit all funds)

The participant(s) and parent(s) accept these terms and conditions: In case of illness or accident, I give my permission for the emergency medical treatment of my child. I have provided my phone number and emergency contact, in the event that I am unable to be reached. I understand that OTM Track Club is not responsible for performing medical care. I allow OTM Track Club to call 911 for emergency medical care if deemed necessary by OTM Track Club. I am responsible for all costs associated with his or her treatment.

The participant(s) and parent(s) accept these terms and conditions: OTM Track Club has my permission to take & use my child's track & field photographs, digital images, & videos for official OTM Track Club purposes such as, but not limited to, media press releases, OTM Track Club website, and Facebook page.

I hereby give my consent for the above named child(ren) to participate in practices, track meets, road races, travel, and other activities sanctioned, sponsored, and/or attended by Over The Mountain Track Club (OTM Track Club). I authorize the coaches to sign the standard athlete's release forms, USA Track & Field (USATF) documents if entering my child in any sanctioned events. Should I (or my child) decide to withdraw from participation with OTM Track Club and its activities, I agree to written notification, that I am withdrawing the above named child(ren) and acknowledge that all REGISTRATION FEES PAID ARE NON-REFUNDABLE. Furthermore, in consideration of my child being accepted in the OTM Track Club, I hereby indemnify and hold harmless OTM, Head Coach, Coaches, Staff, Volunteers, and assigned Chaperones against any and all rights and claims which I have or which may arise in conjunction with my participation or travel to and from practices, track meets, road races or other activities sanctioned, sponsored and/or attended by OTM Track Club and USATF. The above named child's medical history (including allergies, medications being taken and physical impairments that will in any way affect the child's participation) has been brought to the attention of OTM Track Club on this form. I understand my child will not be covered by insurance provided by OTM Track Club and that I either have my own major Medical Insurance Policy or, if not, I will cover the expenses of any injury.