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    Youth Club App11

    Uploaded by

    api-357278378
    This document is an application for athletes to join the Delaware Speed team. It requests basic personal information like name, address, contact details, as well as athletic history including previous teams, desired events, injuries, and a disclaimer signature. The application gathers information to evaluate an athlete's eligibility and fit for the team.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Youth Club App11

    Uploaded by

    api-357278378
    82 views3 pages
    This document is an application for athletes to join the Delaware Speed team. It requests basic personal information like name, address, contact details, as well as athletic history including previous teams, desired events, injuries, and a disclaimer signature. The application gathers information to evaluate an athlete's eligibility and fit for the team.

    Original Title

    youth club app11

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This document is an application for athletes to join the Delaware Speed team. It requests basic personal information like name, address, contact details, as well as athletic history including previous teams, desired events, injuries, and a disclaimer signature. The application gathers information to evaluate an athlete's eligibility and fit for the team.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    82 views3 pages

    Youth Club App11

    Uploaded by

    api-357278378
    This document is an application for athletes to join the Delaware Speed team. It requests basic personal information like name, address, contact details, as well as athletic history including previous teams, desired events, injuries, and a disclaimer signature. The application gathers information to evaluate an athlete's eligibility and fit for the team.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Delaware Speed

    Athletes Application
    Athletes Information
    Full Name: Date:

    Last First M.I.

    Address:

    Street Address Apartment/Unit #

    City State ZIP Code

    Phone: Email

    Social Security No.: USATF Number:

    YES NO YES NO
    Are you a citizen of the United States? If no, are you authorized to work in the U.S.?

    YES NO
    Have you ever ran track and field ? If yes, when?

    YES NO
    If yes, for what club?

    Date of Birth:

    Desired Events:

    If yes, why the


    change:

    Education
    School Name: Address:
    From: To:
    Did you graduate? YES NO
    Diploma::

    Parents
    Please list three professional references.

    Full Name: Relationship:


    Company:
    Address:

    Full Name: Relationship:


    Company: Phone:
    Phone:

    Address:

    1
    Injury / Medical
    Injury
    Medical: Date:

    Details:

    Medication:

    From: To:

    Injury
    Medical: Date:

    Details:

    Medication:
    From: To:
    Injury
    Medical: Date:

    Details:

    Medication:

    From: To:

    Disclaimer and Signature


    I certify that my answers are true and complete to the best of my knowledge.
    If this application leads to employment, I understand that false or misleading information in my application or
    interview may result in my release.

    Signature: Date:

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