TeamPages: Ambler Olympic Club - AOC Cross Country Registration 2019

AOC Cross Country Registration 2019

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hideYou should not enter any sensitive information on this page such as health data, passwords, credit cards or social security numbers. If you are being asked or need to provide this information for your registration please contact Ambler Olympic Club directly. A secure checkout page will be used to collect your payment details on the next page.

Pricing Details

First Athlete Gender
None Selected	-
Male	$ 85.00
Female	$ 85.00
First Athlete Uniform
None Selected	-
No, I need a uniform	$ 60.00
Do you have additional...
None Selected	-
Yes, I have a 2nd a...	$ 85.00
Yes, I have a 2nd &...	$ 170.00
Yes, I have a 2nd, ...	$ 255.00
Second Athlete Uniform
None Selected	-
No, I need a uniform	$ 60.00
Third Athlete Uniform
None Selected	-
No, I need a uniform	$ 60.00
Fourth Athlete Uniform
None Selected	-
No, I need a uniform	$ 60.00

$ 0.00 Total:

AOC Cross Country Registration 2019

AOC Cross Country Registration

Instructions

IN CONSIDERATION OF THE PERMISSION GRANTED TO THE BELOW NAMED ATHLETE (S) BY AMBLER OLYMPIC CLUB (AOC) TO PARTICIPATE IN ANY OF IT’S PROGRAMS, I RELEASE AOC AND IT’S AGENTS FROM ALL ACTIONS, DAMAGES, CLAIMS OR DEMANDS WHICH I, MY HEIRS, EXECUTORS, ADMINISTRATORS OR ASSIGNS MAY HAVE AGAINST AOC FOR ALL INJURIES KNOWN OR UNKNOWN WHICH THE BELOW NAMED ATHLETE MAY INCUR BY PARTICIPATING IN AOC PROGRAMS. I ALSO AGREE TO RELEASE AND HOLD HARMLESS AOC FOR ANY SUSTAINED DAMAGES. I ALSO STATE THAT THE BELOW NAMED ATHLETE (S) HAS BEEN APPROVED BY A LICENSED MEDICAL PHYSICIAN TO PARTICIPATE IN ANY OF AOC’S PROGRAMS.

Agreement with waiver noted above

Instructions

Fees for AOC Cross Country are $85.00 per athlete.

Registration Date

First Athlete Name

Name:

Email Address:

First Athlete Gender

MaleFemale

First Athlete Birthdate

First Athlete Age

Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

First Athlete AAU Number

First Athlete Uniform

Yes, I have a uniformNo, I need a uniformNew Option (double click to edit)

Describe any medical conditions? (If none, type none)

First Parent Name

Name:

First Parent Cell Phone Number

Second Parent Name

Name:

Second Parent Cell Phone Number

Do you have additional athletes to register?

No Additional AthletesYes, I have a 2nd athleteYes, I have a 2nd & 3rd athleteYes, I have a 2nd, 3rd & 4th athlete

Second Athlete Name

Name:

Second Athlete Gender

MaleFemale

Second Athlete Birthdate

Second Athlete AAU Number

Second Athlete Uniform

Yes, I have a uniformNo, I need a uniform

2nd Athlete; Describe any medical conditions? (If none, type none)

Third Athlete Name

Name:

Third Athlete Gender

MaleFemale

Third Athlete Birthdate

Third Athlete AAU Number

Third Athlete Uniform

Yes, I have a uniformNo, I need a uniform

3rd Athlete; Describe any medical conditions? (If none, type none)

Fourth Athlete Name

Name:

Fourth Athlete Gender

MaleFemale

Fourth Athlete Birthdate

Fourth Athlete AAU Number

Fourth Athlete Uniform

Yes, I have a uniformNo, I need a uniform

4th Athlete; Describe any medical conditions? (If none, type none)

or cancel

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