Rio Track Club



			RIO Track Club Membership


		To become a member of the RIO Track Club just print out this form, then fill out the information needed. You must be from Humboldt County, California to join. (Send the form to: RIO Track Club, 1091 Riverside Drive, Rio Dell, California 95562). There is no membership fee! The only cost is a uniform top, which is $16. Once purchased, the uniform will be yours to keep. You can wear it in any track meet or distance race (for as long as it fits!) Track shorts will be yours to find on your own- any black shorts will be fine. Members of the RIO Track Club will also have their race times, throws, or jumps posted on the RIO Track Club website. Another cost that may come up is if you decide to join the USATF as an individual athlete member. Their membership fee is $20 per year. (You will need to be a USATF member if you go to the Junior Olympic Competitions in June or July.) *Although the RIO Track Club is currently focused mostly on the youth, any age can join! There are competitions and fun runs for all ages!*



RIO Track Club - 2006

	Athlete's Name: ___________________________________________________ Date of Birth: __________________________ Age: ____________ Height: __________ Home Address: _____________________________________________ _____________________________________________ Home Phone: ________________________ E-Mail: __________________________________________ If there is an emergency and neither parent/guardian is available, who can be contacted? Name: ___________________________________________ Phone: ____________________ Name: ___________________________________________ Phone: ____________________ Are there any special medical problems that the coach(es) should know about? If so, explain below. _________________________________________________________________________________ _________________________________________________________________________________ Can the RIO Track Club use your picture and other info. on the club website? (Circle yes or no). *(other info. includes name, age, height, sex, hometown, track events, accomplishments) YES NO READ AND SIGN I understand that the RIO Track Club is a member of the USATF. By my signature below, I agree to abide by the applicable USATF Rules of Competition. I also agree to abide by the RIO Track Club's Code of Conduct. __________________________________________________________________________________ Coach Signature & Date __________________________________________________________________________________ Parent Signature & Date __________________________________________________________________________________ Athlete Signature & Date

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