A&h Athletics Registration
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A&H Athletics: Personal Information Sheet Runner Information:
Last
Name:
_______________________________First
Name:
__________________________________________________
Male
_______
Female
_______
Age
__________
Birth
date
___________________Phone
________________________
Grade
in
Fall
2009
_______________
School
___________________________
Email
Address:
________________________
Contact Parent: Last Name: __________________________________First Name: ___________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address _______________________________________________________________________________________________ City/State/Zip ________________________________________________________________________________________
Emergency Contact: Last Name: ____________________________________ First Name: _________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address _______________________________________________________________________________________________ City/State/Zip ______________________________________________________Relationship: __________________
Registration Runners Name: _______________________Years of Running Experience: _____ Check Box for Session(s) Attending: Session 1- Endurance June 6, 2009 $50 Session 2- Nutrition June 13, 2009 $50 Session 3- Hill Running June 20, 2009 $50 Session 4- Strides/Form June 27, 2009 $50 Session 5- Weight/Strength Training July 11, 2009 $50 Session 6‐ Speed Work July 18, 2009 $50 Session 7‐ Core Training July 25, 2009 $50 Session 8‐ Stretch/Recovery August 1, 2009 $50 Session 9‐ Psychology August 15, 2009 $50 Total $
Contact Parent: Last Name: __________________________________First Name: ___________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address _______________________________________________________________________________________________ City/State/Zip ________________________________________________________________________________________
Emergency Contact: Last Name: ____________________________________ First Name: _________________________________________ Email: __________________________ Home Phone: _____________________ Mobile Phone _________________ Address _______________________________________________________________________________________________ City/State/Zip ______________________________________________________Relationship: __________________
Registration Runners Name: _______________________Years of Running Experience: _____ Check Box for Session(s) Attending: Session 1- Endurance June 6, 2009 $50 Session 2- Nutrition June 13, 2009 $50 Session 3- Hill Running June 20, 2009 $50 Session 4- Strides/Form June 27, 2009 $50 Session 5- Weight/Strength Training July 11, 2009 $50 Session 6‐ Speed Work July 18, 2009 $50 Session 7‐ Core Training July 25, 2009 $50 Session 8‐ Stretch/Recovery August 1, 2009 $50 Session 9‐ Psychology August 15, 2009 $50 Total $
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