Bucks County Track Club - Lickity-Split Athletics

2017-18 NOTES:grey column, left....LABEL CHANGE- IMPORTANT NOTES: Registration & Schedule

above Headline: Walk-in Registration Link CLICK HEAR (to Hennings)

_________________________________________ 

 registration closes midnite Tues. Nov. 15        registration closes midnite Tues. Nov. 15          

-- INDOOR (WINTER) TRACK AND FIELD --

ages

5-8

9-14

15-18

mailing address:  

BUCKS COUNTY-LSA^1,2

PO BOX 1052, Quakertown, PA 18951  

 

“NO EXPERIENCE NECESSARY”

practice site: 

Sundays, 6 pm, Christopher Dock Mennonite High School

1000 Forty Foot Rd. 

Lansdale, Pa 19446³

Athlete's Name______________________________            ___________________________________

                                               (last)                                                                        (first)

Address____________________________________City_______________________State______Zip_________

                                                                                                       

Parent's Home & Cell Phone________________/________________ Member’s Cell Phone_________________

Parent's Email______________________________ Member's Email____________________________________

Age________ Date of Birth___________________     Returning Member________ First-Time Member_________

Please List Any Physical Handicaps, Injuries, Allergies ________________________________________________

Date of Athlete’s Last Physical______________________   Grade and School_____________________________

Track Events/Best Performance 1.____________________ 2.____________________ 3.____________________

                                       (cont’d) 4.____________________ 5.____________________ 6.____________________

Favorite Event_______________  How did you hear about us?_________________________________________   

==============================INCOMPLETE FORMS WILL BE RETURNED===================================

Name of Parent or Guardian of Athlete_____________________________________________________________

Address_____________________________________City______________________State______Zip___________

Relationship to Athlete (mother, father, guardian, etc.)________________________________________________

As the parent or legal guardian of the above athlete_____________________________________, I fully understand that

participation in athletics, in this case, track and field, could result in both minor and serious injury and even death. I further

understand that to minimize the risk of injury or harm, the athlete should have had a physical within the past year. I assume

any and all risks associated with the above athlete’s participation as a member of the Bucks County Track Club–

Lickity-Split Athletics (BCTC-LSA) and I hereby waive and release the Bucks County Track Club–Lickity-Split Athletics, its

coaches and representatives, of any and all rights for damages or injuries suffered while participating with the Bucks County

Track Club–Lickity-Split Athletics during a scheduled practice, conditioning session or competition; while traveling to or from

a scheduled practice, conditioning session or competition; or during any other BCTC-LSA related activity.

Parent or Guardian Signature___________________________________________Date____________

REGISTRATION PROCEDURE:

+PRINT out and complete the registration form above. Include your check/MO. Mail to 18951 or bring to walk-in registration site.

+EMAIL to iPUT@hotmail a copy of your athlete's birth certificate or passport photo.

+RESERVE a top quality Hind silk-screened team uniform (upgraded from just a jersey!) at practice by the Dec. 4 deadline ($35 value).

+AFTER Nov. 1, past USATF members need to renew their memberships at: usatf.org/membership/application/index.asp. New

members will be registered by coach. [includes accident insurance, membership card, Youth Runner magazine and MORE!]

+Eight-and-under: ATTEND Sunday only practices from 6:00-7:00 pm [30 minutes shorter than the older kids]; Nine-and-older: attend 

the very few Friday nite practices starting at 7:00 pm and Sunday practices from 6:00-7:30 pm.

+Please offer to volunteer as a parent helper, parent coach or similar, to ensure the success of our season.

REG FEE$:  

                   165 _____ Six (6) week program* (Dec. to Jan.)⁴

                       227 _____ Fourteen (14) week program* (Dec. to Mar.)⁴ 

                              _____ *registration closes midnite Tues. Nov. 15                                 

MISC:                     

                       $0 _____  Site rental included in above registration

                       $0 _____  USATF National Membership fee/insurance included in above registration for new members

                       $0 _____  Uniform fee; "FREE", e.g., offset by mandatory fundraising⁵

DISCOUNTS:                     

                  -$20 _____ "current" 2017 USATF National Youth Member

                             

TOTAL: (Fee Enclosed) $ _____ (mailing address at top of form)

 check, money order made payable to: Peter Merena

               

ALL FEES ARE NON-REFUNDABLE

FOOTNOTES

¹NEW MEMBERS: please email us an electronic image of your athletes birth certificate (b.c.), passport photo or baptismal certificate by December 11, 2016 for competition age verification: 8-Under, 9-10, 11-12, 13-14, 15-16 and/or 17-18. Competitive/registration age groups are based on the age you turn in 2017. Athletes cannot compete until we have b.c.

²USA Track and Field is the national governing body in the U.S. for the sports of track and field, race walking

and long distance running.(cross country, trail, road). Bucks County-LSA is the official USATF name for your local club.

³Now known as Dock Mennonite Academy (Detwiler Rd. entrance. Longacre Gym, downstairs).

⁴Most meet fees are extra, e.g., pay-as-you-go. Meet sign-up and fees are deposited one week in advance at the self-serve

half-table at practice.  There is no Sunday practice on any Sat., Sun. or Mon. a meet is scheduled.

⁵Parents may pay approx. $50 per athlete in lieu of fundraising. Uniforms are distributed when fundrai$ing is turned in.

                                                                         

Walk-in Registration Site(s)   RSVP: please call 24 hrs. ahead and let us know you are coming: 267-227-8673)
date	location	time
Sunday       November 13	Hennings Market, Main Street, Harleysville, Pa 19438 (head toward buffet area and UPSTAIRS as below)	6:00 pm RSVP
TBD tentative Sunday November 20	Hennings Market, Main Street, Harleysville, Pa 19438 (head toward buffet area and UPSTAIRS to the far back of the sitting/eating area)	6:00 pm RSVP

   

2016-2017 (tentative) Indoor Schedule of Meets
Dec. 2 (Friday)	First practice 9-and-Older
Dec. 4 (Sunday)	First practice 8-and-Under	Second practice 9-and-Older
Jan. 8	practice is ON!	Christ. Dock MHS
Jan. 15	Chester, Pa (6 week program "ends")	City Invitational
February 5*	Reading, Pa	Family RunFest
Feb. 19	Staten Island (SI), NY	National Trials/Zones
Feb. 26	Bethlehem, Pa	Mountain Invitational
March 4	NY, NY	New Balance Armory
March 10-12	Staten Island (SI), NY	National Championships@
*date based on 2016 schedule    @ must qualify & coaches discretion