Company Name - Whitehouse-Tyler Metro Track Club
 
REGISTRATION FEE MUST BE PAID BY THIRD PRACTICE SESSION NO REFUNDS
GENDER
Male
Female
Participant Name
Date of Birth
Age
Address, City, State, Zip Code
Phone
Email Address
PARENT/GUARDIAN INFORMATION
Name
Street Address, City, State, Zip Code
Home Phone
Cell Phone
Email Address
EMERGENCY CONTACT
Name of relative not residing with you
Emergency Contact Phone
Street Address, City, State, Zip
Relationship to Participant
PARTICIPANT MEDICAL HISTORY
Medical Conditions
Medicines Taken
Allergies
HOSPITAL PREFERENCE
SIZE
CHILDS SMALL
CHILDS MEDIUM
CHILD LARGE
TEEN SMALL
TEEN MEDIUM
TEEN LARGE
ADULT SMALL
ADULT MEDIUM
ADULT LARGE
DATE
                                       CODE OF CONDUCT AGREEMENT          Whitehouse-Tyler Metro Track Club (WTMTC) hereby  referred to as
Student Signature:
Parent Signature:
Email Address
Please enter date:
REGISTRATION---UNIFORMS----OFFICIAL GEAR
  Registration Fee & Uniform Cost  ARE DUE BY THE THIRD PRACTICE SESSION
 
??NOT SURE ABOUT SIZE??
ORDER  NORMAL SIZE
ON-SITE SIZING AVAILABLE
 
 
Size Conversion Chart
Childs Small(CS)    Teen Small(TS)           Adult Small(AS)  Childs Med(CM)                  Teen Med(TM)       Adult Med(AM)        Childs Large(CL)   Teen Large(TL)            Adult Large(AL)  Adult(XL)     Adult(XXL)
NOTE:   Total Each Item Ordered Below; Update "Quantity Box" in Shopping Cart:
" PLEASE ADD CHILD'S NAME ON REGISTRATION ORDER"
 
 
Registration
Fee
Price: $50.00
Total Registered (Update QUANTITY BOX in Shopping Cart:
Child's Name:
Uniform
2-Pc Set
Price: $55.00
Sizes (Update QUANTITY BOX for Each Size in Shopping Cart):
Gender:
Additional Top
RunningTop
Price: $20.00
Size:
:
Additional Shorts
Running Shorts
Price: $20.00
Size:
: