CUCO Track Club Registration

CuCo Track Club Membership Registration
Registration Information

Spring 2022 Registration Fees are $299
- Registration fees are for AAU Athlete Membership fee $20, practice insurance and season training fees and team organizational costs
- Registration includes a Team Competition Uniform
- Registration Includes a Warm-Up Track Suit
- Registration Includes a Team Back Pack nd/or order CuCo uniforms
* Spring/Summer Track Also has meet registration fees that are not included in the team registration fee which are estimated at $15.00-$20.00 per meet.

Once Registration form is completed you can pay the registration fee on our website here https://www.werunthebeach.com/shop
Registration
Athletes Name *

First Name Last Name
Athletes Age
As of December 31st 2021
Gender

Male Female
Birth Date:

Day Month Year
Athletes School
Do you have any trades which may benefit the club?
Current and/or previous sports
Parents Information
Name

First Name Last Name
Phone Number: *

Area Code Phone Number
E-mail *
Address:

Street Address

Street Address Line 2

City State

Postcode Country
Emergency Contact
Name

First Name Last Name
Phone Number

Area Code Phone Number

Upload a Picture Copy of Athletes Birth Certificate

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Use Smartphone, Take a Picture & Upload Cancel of

Photo/Media Release Form

Please Read & Sign
Photo/Video Release and Waiver

I The parent guardian of the above listed minor, hereby give my permission to Cuco Track Club, to use photographs, voice recordings, or video taken of the above listed minor during the games and events associated with Cuco Track Club in any manner to help promote the league activities as determined in the sole discretion of the Cuco Track Club. Such use could include publications, media releases, public announcements, electronic or otherwise, and on league websites or social media pages. I agree that neither I, nor the above listed minor, will receive any compensation if such image appears in any of the manners listed above or other manner that the league deems appropriate. I agree that such image is the property of Cuco Track Club
Signature

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Physical form upload

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Upload athletes physical from doctor Cancel of
Signature

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WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

In consideration of being allowed to participate on behalf of Cuco Track Club athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1.    Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

2.    I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3.    I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4.    I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert name of sports organization) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
Parents Signature

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CuCo Track Club Membership Registration

Photo/Media Release Form