Registration - Panthers Elite Track & Field Club

Registration Fees

New Members

$345 (Uniform Included)

Returning Members

$290 (Uniform Not Included)

6 Yrs-Under

$290 (Uniform Not Included)

Additional Athletes (Siblings)

15% Discount for Multiple Athletes

Registration Fees Include

Club Membership
AAU Membership
Team Uniform (New Members Registration Only)
Team T-Shirt
Banquet Fees

Note: Registration payments are non-refundable.

Make registration payment

Register an athlete or download the registration form.

"*" indicates required fields

Step 1 of 5 – Athlete

20%

Athlete Name*

Date of Birth*

MM slash DD slash YYYY

Age*

School*

Street Address*

City*

Zip Code*

Main Contact Email*

Guardian #1 Name*

Relationship*

Home #

Cell or Work #*

Guardian #2 Name*

Relationship*

Home #

Cell or Work #*

Consent*

I agree

Medical Information/Waiver: To whom it may concern: I, the parent/guardian of the athlete(s) registered on this online form, Hereby authorize a club representative of Panthers Elite Track & Field Club to seek and sign for medical treatment for my child, a member of said club, in an emergency situation. I also authorize that the same representative, be allowed to sign for medical treatment in nonemergency situations when my child is traveling with the club or when I am unable to be reached by phone. I also agree for myself, my heirs and personal representatives to waiver and release all claims for damages I may now hereafter have arising out of the above named person’s participation in any activities of Panthers Elite Track & Field Club. I further state that to my knowledge, applicant has no health problems or preexisting conditions, not previously mentioned that limit his/her training or activity level.

Insurance Provider*

Policy #*

Group #

List any allergies (medication, food, etc.)*

Athlete Photographs/Images*

I agree

By agreeing I understand and agree that Panthers Elite Track & Field Club has my permission to take and use my child’s photographs or digital images for official Club purposes.

Date*

MM slash DD slash YYYY

Liability*

I agree

I/ we agree to indemnify, save and hold the PANTHERS ELITE TRACK & FIELD CLUB, LLC It’s officers, agents, representatives, coaches and employees from and against all rights, actions ,causes, claims of liabilities, costs of expenses of any kind as well as attorney’s fees on appeal, of whatsoever kind or nature to which the organization may be subjected as a result of my participation in the activity for which I am registering. I further agree that this release shall apply in the event that (I/ my child) is disabled, injured, or incur disease of a temporary or permanent nature while participating in this activity.

Property*

I agree

I/ we further agree to return any and all property issued to me upon (request), expiration of this activity Or whenever I have ceased to be a member of said activity, or in the event the equipment is lost, stolen or damaged to reimburse the PANTHERS ELITE TRACK & FIELD CLUB, LLC for said property.

Terms & Conditions*

I agree

I/ we certify that I have fully read and understand the contents of this form and that I fully agree to all terms and conditions. This contract shall not become effective until signed by the participant, parent (in case of minor) and agent of the organization and accepted by the PANTHERS ELITE TRACK & FIELD CLUB, LLC.

Name

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Make a registration payment.

"*" indicates required fields

Payment for*

For all non-membership payments such as “meet fees” and “uniform fees,” select the “Miscellaneous” option from the dropdown.

Partial or Full Payment*

Payment Amount*

Email Address*

Guardian Name*

Athlete Name*

Convenience Fee

Price: $0.00

Convenience Fee

Price: $0.00

Adjustment

Price: $0.00

Total

Total reflects a 3.5% convenience fee.

Remaining Balance

Comments

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