A&h Athletics Registration1
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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 Session 3- Hill Running Session 4- Strides/Form Session 5- Weight/Strength Training Session 6- Speed Work
June 13, 2009 June 20, 2009 June 27, 2009 July 11, 2009 July 18, 2009
Session 7- Core Training Session 8- Stretch/Recovery
July 25, 2009 August 1, 2009
Session 9- Psychology Full Summer Package
August 15, 2009 All Sessions Included
Total
$50 $50 $50 $50 $50 $50 $50 $50 $400 $
50% of the total cost is due at the time of registration. The remaining balance is due by June 27, 2009. Cancellations must be made one week in advance. There will also be a 50% cancellation fee.
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 Session 3- Hill Running Session 4- Strides/Form Session 5- Weight/Strength Training Session 6- Speed Work
June 13, 2009 June 20, 2009 June 27, 2009 July 11, 2009 July 18, 2009
Session 7- Core Training Session 8- Stretch/Recovery
July 25, 2009 August 1, 2009
Session 9- Psychology Full Summer Package
August 15, 2009 All Sessions Included
Total
$50 $50 $50 $50 $50 $50 $50 $50 $400 $
50% of the total cost is due at the time of registration. The remaining balance is due by June 27, 2009. Cancellations must be made one week in advance. There will also be a 50% cancellation fee.
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