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TRACK SIGN-UP FORM:
LAST NAME____________________ FIRST NAME_________________ MALE/FEMALE
DATE OF BIRTH________________AGE_________GRADE____________
HOME ADDRESS: _________________________________________________________
PHONE #’S________________________________________________________________
EMAIL:________________________________________IMPORTANT! WRITE LEGIBLY
EMERGENCY CONTACT: ___________________________________________________
PHONE #’S_______________________________________________________________

TOTAL: $109(club fee) + $20(USATF Insurance)= $129.00 (checks made payable to Mission
Multisport, LLC)

3 ways to sign up:

Email this form to Coach K @:CONTACT@MISSIONMULTISPORT.COM

Mail form and payment to: MISSION MULTISPORT, LLC, 198 RAMONA, SLO, 93405

ONLINE go to:WWW.ACTIVE.COM (TYPE “Mission Youth Track Club” in search box)

***ALL COMMUNICATION FROM COACHES TO PARENTS WILL BE DONE VIA EMAIL. PLEASE CHECK DAILY***


TRACK SIGN-UP FORM: LAST NAME____________________ FIRST NAME_________________ MALE/FEMALE DATE OF BIRTH________________AGE_________GRADE____________ HOME ADDRESS: _________________________________________________________ PHONE #’S________________________________________________________________ EMAIL:________________________________________IMPORTANT! WRITE LEGIBLY EMERGENCY CONTACT: ___________________________________________________ PHONE #’S_______________________________________________________________ TOTAL: $109(club fee) + $20(USATF Insurance)= $129.00 (checks made payable to Mission Multisport, LLC) 3 ways to sign up: Email this form to Coach K @:CONTACT@MISSIONMULTISPORT.COM Mail form and payment to: MISSION MULTISPORT, LLC, 198 RAMONA, SLO, 93405 ONLINE go to:WWW.ACTIVE.COM (TYPE “Mission Youth Track Club” in search box)
*ALL COMMUNICATION FROM COACHES TO PARENTS WILL BE DONE VIA EMAIL. PLEASE CHECK DAILY*