New Member Registration Application

XC 2020 New Members registration.

All New Members MUST meet with Coach Sean in person.

For more detail, email Director Sean Rice at midwoodtrack@aol.com

ONCE YOU HAVE RECEIVED APPROVAL TO COMPLETE YOUR REGISTRATION, PLEASE FILL OUT THE FORM BELOW AND PROCEED TO REGISTRATION PAYMENTS https://ppyrc.org/collections/registration-payment

Please select registration season *

New Member Cross Country / Fall
New Member Outdoor / Spring

First Name *

Last Name *

School *

Grade *

Gender *

Date of Birth 00/00/0000 *

Age *

Height 0'00 *

Weight Lbs. *

Athlete's email

Athlete's Phone

Parent/Gaurdian Name *

Relationship *

Street Address *

City *

State *

Zip *

Parent's email *

Parent's Phone *

Emergency Contact Person *

Emergency Contact Phone *

T-Shirt (select size below) *

Racing Tank Top (select size below) *

Racing Shorts (select size below) *

Hooded Sweatshirt (select size below) *

Sweat pants (select size below) *

Medical Form

Parental Consent

Birth Certificate

Application