East Bay Heat 2022 Membership Application

East Bay Heat Track and Field Club

Name of Athlete * First Last
Age as of December 31, 2022 *
Age Division (to be filled in by coach)

8 and under (2013 +)
Group 1 (2011-2012)
Group 2 (2009-2010)
Group 3 (2007-2008)
Group 4 (2005-2006)
Group 5 (2003-2004)**

**Per USATF Rule 300.1 (c) "Athletes must be at least seven (7) years of age on December 31 of the current year to compete at the Youth Athletics or Junior Olympic National Championships."

** Athletes who are still 18 through the final day of the USATF National Junior Olympic Track & Field Championships are eligible to compete in the 17-18 age division through that meet. This extended eligibility does not apply to cross country events.
Birthdate: * / MM / DD YYYY
School *
Grade *
Parent/Guardian Contact Information

Parent/Guardian contact information
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number: * - ### - ### ####
Cell Phone: * - ### - ### ####
Cell Phone Provider: *
Email Address: *
Emergency Contact
Emergency Contact * First Last
Home Number: * - ### - ### ####
Cell Phone: * - ### - ### ####
Payments/Cost Contract:

Cost: 365.00
Payment Options *
Cost includes:
■End of season Celebration
■USATF/AAU member registration
■Insurance while at practice and track meets
■Full East Bay Heat Team uniform (yours to keep)
■Entry fees for track meets not including post season.(The road to the Nationals)
■Team equipment/supplies

Your athlete must complete entire Season (March-June) to receive awards.
EBHTC requires a $100.00 deposit (per athlete) that covers immediate membership/insurance in 2 different Associations at time of application and will be deducted from the final registration cost. We accept cashiers checks, money orders, cash and personal checks, you may also send payments via Zelle, PayPal or Cash App. See Coach for more information. All payments will receive a electronic receipt. When accepting a personal check, all laws pertaining to a returned check will be enforced: there is a $35.00 return check fee in addition to all other costs.

Your Athletes' account must be funded at least $250 for their uniform to be ordered. Uniforms ordered in late January 2022 may not arrive in time for season start.

Registration funds must be paid in FULL by Saturday, February 26, 2022.
Any funds that have been received for your athlete will not be refunded.

Make all check payments to: East Bay Heat Track Club
I, the parent/guardian of the athlete on this registration form agree to meet payment requirements as outlined above. The initial Registration fee of $100.00 is included with this application. Please bring payment to practice.

Parent/Guardian Signature
*

Clear
Athlete/Parent Behavioral Contract

Please review this form with your athlete. Both you and your athlete must sign the contract and return to EBHTC with registration packet. THIS WILL BE STRICTLY ENFORCED!!
Athlete:

■ Keep my grades up and do my best in school
■ Maintain a positive attitude during practice and all sponsored events
■ Support my fellow teammates
■ Exhibit self-discipline
■ Show a sense of unity and pride for my team and community
■ Wear appropriate clothing to practice and track meets
■ Keep my uniform clean
■ Respect all adults, rules and directives
■ Put forth my best effort at all times
■ Be on time to all practices and track meets
■ Will not use foul or obscene language or drugs

Parent/Guardian:

■ Support my Athlete and team
■ Maintain a positive attitude
■ Participate in all fundraisers and other team events
■ Provide transportation to and from practice and track meets
■ Assist in enforcing team rules and guidelines
■ Provide healthy snacks/beverages for child during practice/meets
■ Provide athlete with a good night's rest before track meets
■ Be on time to all events/arrive a minimum of 1 hour before track meets start
■ Will not use foul or obscene language or drugs
■ Respect all other parents and coaches

We understand if we (athlete and parent) fail to abide by the above guidelines, we will be subject to a 7 day suspension from competition and must attend practice while suspended and subsequent dismissal from club. Furthermore, we understand that dismissal from team will result in forfeiture of all funds previously paid to EBHTC on our behalf.

Media, Website Pictures & Names: I/We give permission to have my above named child’s picture and name on EBHTC website; and
other forms of Media outlets in conjunction with the East Bay Heat Track Program (names will not be listed with picture on Web site).

Athlete's Signature
*

Clear
Date / MM / DD YYYY

East Bay Heat 2022 Membership Application

East Bay Heat 2022 Membership Application

Parent/Guardian Contact Information

Emergency Contact

Payments/Cost Contract:

Athlete/Parent Behavioral Contract