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Informations sur les membres

Prénom *

Nom *

Sexe *

Homme Femme

Date de naissance (AAAA *-MM-JJ)

/ /

Citoyenneté *

Pays de naissance *

Athlete Email:

Athlete Phone Number:

Parent / tuteur *

Parent/Guardian Relation to Athlete: *

Courriel du parent / tuteur * Recevoir des courriels

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

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) *

Type d’adhésion

Type d’adhésion *

Program (age calculated Dec 31, 2026) *

Renonciations

Les éléments de renonciation sont requis pour cette inscription. Veuillez inscrire l’adresse courriel de l’inscrit ou du parent/tuteur (si l’inscrit est d’âge mineur).

Adresse courriel où envoyer la renonciation *

2025-2026 Athlete Membership: Pearlgate Track & Field Club

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Informations sur les membres

Type d’adhésion

Renonciations