VALLEY UNITED STRIDERS TRACK CLUB
2008 REGISTRATION FORM
Fax to: 661-295-7290
ATHLETE INFORMATION
Name____________________________________________________________________________
(Last Name, First Name)
Date of Birth:_______________________Age:____________________ Division:________________
VYC Home Team:___________________________________________________________________
Tac Card Number:__________________________________________________________________
PARENT/GUARDIAN INFORMATION
Parent 1:_________________________________________________________________________
(Last Name, First Name)
Parent 2:_________________________________________________________________________
(Last Name, First Name)
Address:_________________________________________________________________________
(Street, City, Zip)
Home Phone Number:____________________ Cell Phone Number: _________________________
Email Address:_________________________ Alternate Number:__________________________
Best Form of Contact: _______________________________________________________________
GENERAL REGISTRATION
Registration Fee $200.00
Tac Card Fee (USATF Club# 015) $ 20.00
TOTAL DUE UPON RECEIPT $____________
Apparel
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T-shirt |
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Sweatsuit Size |
Spike Bag |
BB Hat |
Visor |
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AXXL |
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AXL |
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AL |
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AM |
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AS |
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YXL |
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YL |
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YM |
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YS |
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YXS |
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Per Unit Cost |
12.00 |
15.00 |
60.00 |
15.00 |
10.00 |
10.00 |
10.00 |
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Extended Cost |
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Extended Total |
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TRACK MEETS
June 6th, 7th & 8th SCA Junior Olympic Association Meet @ Serra High School,14830 Gardena,CA. 90249
Entry fee's included in team registration. Entry deadline
6/2/08
(Bantam and Midget are limited to 3 events) Please
include times and marks
Event 1:____________ Event 2:__________ Event 3:__________Event 4:__________
June
24 - 29
USA Youth National Championships @Irwin Belk Track and Field Center/Transamerica
Field, UNC Charlotte - Charlotte, N.C.
Event 1:____________ Event 2:__________ Event 3:__________Event 4:__________
Athlete Airfare TBA
Family 1:_________________________________ TBA
Family 2:_________________________________ TBA
Family 3:_________________________________ TBA
Total Due:__________
Total Due:___________
Please write legibly when ordering airline tickets. Make sure to use the name as indicated on a driver’s license, passport, or birth certificate.
Please contact the Valley United Travel Manager via VUNTRAVEL@yahoo.com to request assistance with lodging accommodations. Valley United has blocked a limited amount of rooms at a discounted rate. After each division has been situated the remaining rooms will be available to parents and other attendees. If there is no response then the rooms will be released for other patrons.