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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 Photographs/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__________