TRACKIE - Online registration for events, tournaments, clubs and organizations...

Athlete Information

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Address *

Birth Country *

Citizenship *

Parent/Guardian Information

First Name *

Last Name *

Phone Number * - International Number

Email * Opt in to emails

Emergency Contact Information

First Name *

Last Name *

Phone Number * - International Number

Email * Opt in to emails

Relationship to Athlete *

Athlete Medical Information

ALLERGIES

Does your child/ward have any FOOD allergies? If so, please describe below. (Ex. Peanuts - Reaction: Wheezing - Uses EpiPen - Anaphylactic) *

Does your child/ward have any NON-FOOD allergies? If so, please describe below. (Ex. Pollen - Reaction: Stuffy Nose - Takes Reactin) *

MEDICAL CONDITIONS

Please list any current or past medical conditions (ie. heart and lung conditions, diabetes, epilepsy, ADHD/ADD). Please include any pertinent details: *

INJURIES

Please list any current injuries you may have, or any injuries that have occurred within the last year. Please include any pertinent details: *

MEDICATION

List all current prescribed medication- all formats (pills, patches, injections, inhalers, etc.). (Ex. Naproxen 500mg two times daily for osteoarthritis since March 2025) *

Are you regularly using over-the-counter medications (i.e- anti-reflux, anti-inflammatory, allergy, etc. )? *

Event Area

Event Area *

Seed-mark

: : .

Seed location

Seed date

Add another event area

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 *

C.A.N.I Athletics Junior Stars 2026-2027

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Athlete Information

Parent/Guardian Information

Emergency Contact Information

Athlete Medical Information

ALLERGIES

MEDICAL CONDITIONS

INJURIES

MEDICATION

Event Area

Declaration & Signature