NKC Athletics  - Run Like A Champion Today
NKC Athletics

Track Registration Form 2017

The Very Best In Track & Field, Personal and Sports Training, Health and Wellness

Full Name

Birth Date

Home Address 

City             Zip 

Parent/Guardian Name

Work Phone  

Home        Phone               


Parent Email Address

Gender:   Male      Female

Uniform Size_____

Membership Fees:                                                                                                 

$ 100.00 May thru July

*Does not include meet entry fees

Club Membership Waiver: All training and competitions are optional.  If an athlete chooses to participate in personal or group training, track meets, club races, etc. the following apply:  Running/training are potentially hazardous activities.  I will not enter and run in club events/activities unless I am medically able and properly trained.  I agree to abide by any decision of a race official or coach relative to my ability to safely complete the run.  I assume all risks associated with running in club races and training including, but not limited to, falls, contact with other participants, effects of the weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me.  Having read this waiver and knowing these facts, and in consideration of your acceptance of my application for membership, I, for myself and anyone entitled to act on my behalf, waive and release AAU, USATF, NKC Athletics, Staff, John Wright, all sponsors, and volunteers their representatives and successors from all claims or liabilities of any kind arising out of my participation in these club activities even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.  I also waive and release  the City of Wichita, and all other facilities where practices take place from any and all liability.
Return application & medical release form with membership fee to: John Wright.  Make checks payable to North Kids Club. Fees are non-refundable and non-transferable.
Questions- please Contact Coach John Wright @316-644-9781.

Athlete Signature  Date

Parent/Guardian Signature Date

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