TRACK PRE-SEASON REGISTRATION FORM Participant Name * First Name Last Name Participant Birthdate * MM DD YYYY Participant Gender Male Female Do not wish to disclose Participant Grade * IPA Youth Program is established for youth runners up through 8th grade. We will not accept high school athletes. 5th 6th 7th 8th Parent/Guardian Name * First Name Last Name Parent Email Address * Emergency Contact * First Name Last Name Emergency Contact Phone Number * (###) ### #### Are there any medical/physical challenges we should be aware about with your athlete? * Thank you!
