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Athlete Information

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Citizenship *

Birth Country *

Athlete Email:

Athlete Phone Number:

Parent/Guardian Name: *

Parent/Guardian Relation to Athlete: *

Parent/Guardian Email: * Opt in to emails

Secondary Parent/Guardian Email:

Parent/Guardian Phone Number: *

Emergency Contact Name: *

Emergency Contact Phone Number: *

Doctor's Name:

Doctor's Phone Number:

Health information or medications the club should be aware of:

NLAA Membership Number (optional)

Has the athlete trained for Track & Field or Cross-Country with their school? *

Has the athlete trained for Track & Field or Cross-Country with a track club before? *

Is Track & Field the athlete's primary sport? *

Has the athlete trained with Pearlgate before? If yes, with what group? *

If the athlete trained with Pearlgate before, when were they last consistently attending practices? *

Has the athlete ever made Team NL for Track & Field? (Legion Youth Nationals or Canada Games) *

Membership type

Membership type *

Program (age calculated Dec 31, 202) *

Additional Items

Singlet

$55.00

QTY

Pins for Track Spikes

$0.25

QTY

Waiver items are required for this registration. Please enter the email address of the registrant or parent/guardian (if the registrant is under the age of majority).

Email address to send waiver to *

2026-2027 Athlete Membership: Pearlgate Track & Field Club

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Athlete Information

Membership type

Additional Items