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Registration Application

*Please indicate in the comment section if you are joining a group training program.

Location*

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Student/Athlete Full Name*

Parent/Guardian Full Name*

Address*

Email Address*

Phone*

Emergency Contact (Name & Number)*

Gender*

Select an option

Age*

Birth Date

Current Grade Level*

Height and Weight*

Uniform Sizes (top, bottom, t-shirt*

Desired Start Date*

Prior School (s) / Running Experience, PR's (Personal Records), if Applicable

Personal Goals/ Comments /Other Important Information:

Office Hours:

Mon -Friday: 7AM - 7PM

Saturday & Sunday: By Appointment Only

© 2016 Success Performance Track Club

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