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

Athletics Alberta Membership # *

First Name *

Last Name *

Gender *

Male Female Other

Date of Birth * (YYYY-MM-DD)

/ /

Citizenship *

Birth Country *

Parent/Guardian

Parent/Guardian Email Opt in to emails

Full Mailing Address - Street Address *

Address 2

City *

Province/Territory/State *

Country *

Postal Code *

Individual Email * Opt in to emails

Phone * - International Number

Alberta Health Care # *

Allergies/Health Concerns *

Parent/Guardian's Name *

Parent/Guardian's Work Phone *

Parent/Guardian's Cell Phone *

Parent/Guardian's #2 Name

Parent/Guardian's #2 Work Phone

Parent/Guardian's #2 Cell Phone

Emergency Contact Name *

Emergency Contact Relation *

Emergency Contact Phone # *

U14 Fall Session: October 13 - December 17 (not available for registrants age)

U14 Fall Session: October 13 - December 17
U14 Full Year: October 13 - June 24 (not available for registrants age)

U14 Full Year: October 13 - June 24

14+ Fall Session: September 17 - December 29 (not available for registrants age)

14+ Fall Session: September 17 - December 29
14+ Full Year: September 17 - July 29 (not available for registrants age)

14+ Full Year: September 17 - July 29

I have read and agree *
Club Waiver

I have read and agree *
Athletics Alberta Informed Consent Agreement

I have read and agree *
Parent and Guardian Code of Conduct

Typed digital signature (type your name exactly as entered above "registrants name") *

Titans Track & Field Club Full Year & Fall Registration