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join us

Use the form below to register to be a member of The Central Texas Elite Track Club. 

Please note  that there will be a $400 registration fee.

All fees must be paid in full at time of registration an are non refundable.  We do not accept cash, personal checks or money orders.  All payments are made through Pay Pal. 

 
GENERAL INFORMATION
Today's Date *
Today's Date
Gender *
Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
MEDICAL HISTORY
Does the athlete have any medical problems that running track might aggravate? *
Does the athlete have asthma? *
Family Doctor Phone
Family Doctor Phone
FAMILY INFORMATION
Mother's Name
Mother's Name
Mother's Address
Mother's Address
Mother's Phone/Cell
Mother's Phone/Cell
Father's Name
Father's Name
Father's Address
Father's Address
Father's Phone/Cell
Father's Phone/Cell
Emergency Contact *
Emergency Contact
Emergency Contact Phone/Cell *
Emergency Contact Phone/Cell
EDUCATION
Graduation Date *
Graduation Date
ADDITIONAL INFORMATION
Are you currently a member of a Track Team?
Please list event, time/jump, year, and location.