Download JL Sports Performance Registration Packet

JL Sports Performance Registration Packet JL Sports Performance Staff:
Head Coach: Jafar Maurice
Business Admin/coach: Liz Maurice
Coaches: Bonnie Bright, Muhammed Maurice, Kyrell Hudson, Brock Lutes
Email: ​[email protected]
www.jlsportspro.com
Liz: 971-344-8916; Jafar: 503-432-3034
Information for ALL Athletes
❖ Complete registration form, obtain or renew USATF membership, and pay JL
uniform and registration fees on or before ​May 26th​. Meet fees will be
announced via email and are due before each track meet.
❖ TO BECOME USATF MEMBER: Complete application online. They charge $20 for
annual fee. Our CLUB# 37-1050.
https://www.usatf.org/membership/application/index.asp
❖ Uniform fee is $25​ for a singlet. You can wear your old uniform and not pay for
another one. Please wear black track bottoms to every track meet.
❖ Checks are payable to ​JL SPORTS PERFORMANCE. C
​ ash encouraged.
❖ TUESDAY May 30th @ Putnam HS is the FIRST track training session!
Registration Fees (May 30th - July 20th)
Team Royal
Blue
Specialized Track Training, Tues. & Thurs. @ Putnam,
6:30-8pm, 90 min session
$250
Team Burnt
Orange
Package Royal Blue plus @theMOVElab x 1 per week
$320
Team Hunter Package Burnt Orange plus 3 private sessions and (1) 45
Green
min. herb consult with Bonnie
2017 Track Meets
Jun 3- Jun 4
Portland Track Festival Youth (Liberty High School)
meet fees= $10 per athlete (Meet FEES DUE MAY 29th)
Jun 10
Special JL TRAINING DAY in Eugene, OR
TrackTown Youth Championship in Eugene, OR (invite only)
NCAA Track Meet @ Hayward Field (Eugene, OR)
Jun 17
COTC Youth Development Track Meet (Bend Senior High School)
Meet Fees - TBD
​Jun 22-25
State JO (Jesuit High School) - Meet Fees TBD
July 15-16
West Coast Invite - (Linfield College)
​ Jul 6- 9
​Jul 25-30
TBD
Region 13 JO (​ Central Valley HS) ​Spokane, WA
USATF JO Nationals (Lawrence, Kansas)
Appreciation Gathering/BBQ
​ REFUND POLICY
SEND EMAIL TO REQUEST REFUND. NO REFUNDS AFTER JUNE 1ST.
$620
Volunteering
PARENTS ARE STRONGLY ENCOURAGED TO VOLUNTEER DURING
EACH TRACK MEET. WE NEED PARENTS TO SIGN UP FOR THE
FOLLOWING RESPONSIBILITIES:
FIRST AID​ (bring first aid kit plus ice pack to each track meet and provide
first aid to injuries)- first aid trained is preferred
WATER/SNACKS​ (bring water and healthy snacks)
SCHEDULE​ (make sure team have updated event schedule, remind
athletes to check in to their event)
PICTURES/VIDEOS ​(take lots and lots of pictures of all athletes)
CLEAN UP​ (encourage everyone to clean up, make sure all trash is picked
up and our area is left clean)
RESULTS ​(keep team updated on all athlete event results)
MEET FEES ​(keep record of each athlete’s track meet events and collect all
meet fees prior to the track meet).
Registration
Paid $______
Due $______
1. Athlete’s Name: ________________________Uniform Top size_______
Date of Birth: _________________ Gender: ________________________
Street Address: _______________________________________________
City: __________________ State: ______ Zip: ______________
Current School Athlete Attends: ______________Grade: ___
2. Athlete’s Name: _________________________Uniform Top size_______
Date of Birth: _________________ Gender: ______________________
Current School Athlete Attends: _______________Grade: __
3. Athlete’s Name: __________________________Uniform Top size_______
Date of Birth: _________________ Gender: ______________________
Current School Athlete Attends: ______________Grade: ___
Parent/Guardian:
First Name: ___________________Last Name: ____________________
Home Phone: __________________ Cell Phone: ______________
Email: _______________________________________________
Parent/Guardian:
First Name: ___________________Last Name: ____________________
Home Phone: __________________ Cell Phone: ______________
Email: _______________________________________________
USATF Membership:
By signing below, I, a prospective member of USA Track & Field, agree to abide by the applicable USATF
Bylaws, Operating Regulations and Competition Rules for my level(s) and Category(s) of Membership,
Parent/Guardian Signature:_____________________________ Date___________
Athlete Photogr​a​phs/Images:
By signing below I understand and agree that JL Sports Performance (JL Track Performance) Club has my
permission to take and use my child’s photographs and/or digital Images for official Club purposes.
Parent/Guardian Signature _______________________________Date____________
JL SPORTS PERFORMANCE
Emergency/Medical Release Form
Parent Permission for Youth Participation
I, ____________________ (Parent/Guardian's Name) hereby give permission to my child
______________________ (Child's Name) to participate in JL SPORTS PERFORMANCE (JL Track
Performance) training and activities and provide that any and all medical attention to be
administered to him/her in the event of accident, injury, sickness, etc., under the direction of the
person(s) listed below, until such time as I may be contacted. I also assume the responsibility for the
payment of any such treatment. I understand that JL SPORTS PERFORMANCE, JL Track Performance,
USA Track & Field, USATF Oregon nor any of the individuals involved listed below provide insurance
to its participants. Further, I agree to indemnify and hold harmless JL SPORTS PERFORMANCE (JL
Track Performance) and its members, and the other parties contained herein, their coaches and
sponsors, and events from and against all claims, demands, losses, and liabilities of any kind arising
out of, or, in any way, connected with my child’s participation in JL SPORTS PERFORMANCE (JL Track
Performance). This release is effective for the period of one year from the date given below.
EMERGENCY MEDICAL CONTACT: ______________________________________________
ADDRESS: _________________________________________________________________
HOME/CELL PHONE: ________________________________________________________
INSURANCE COMPANY:_______________________________________________________
POLICY NUMBER: ___________________________________________________________
PHYSICIAN: ________________________________________________________________
PHONE: ___________________________________________________________________
Preferred Hospital: _________________________________________________________
KNOWN ALLERGIES/MEDICAL CONDITIONS: ______________________________________
In case I cannot be reached, any of the following persons are designated to act on my behalf.
• Jafar Maurice
• Liz Loving-Maurice
• Any designated JL Sports Performance, Representative or delegated authority by one of the above
​SIGNATURE (PARENT/GUARDIAN) _____________________________DATE__________