Central Wisconsin Track Club
June 8 -August 21, 2015
The Central Wisconsin Track club is a nonprofit organization aiming to provide individualized and personal training to youth, open, and masters track athletes. Our goal is to train athletes to compete at an elite level of competition throughout the summer.
- Sprints, Relays, Distance, Shot Put, Discus, Long Jump, Triple Jump and High Jump
or call: (715) 342-5535
Uniform top size: XS S M L XL XXL
Alternative Emergency Contact:
***In case of emergency, Please list any medical conditions, medications, or allergies needed to provide to medical response teams (all information will be held confidential): ________________________________________________________________________________________________________________________________________________________________________________________________________________________
Events interested in & Personal Bests: ________________________________________________________________________
Legal Liability Waiver
I do hereby release and forever discharge, Mike Schoenfeld, Central Wisconsin Track Club, Adams-Friendship Booster Club and the Adams-Friendship Area School District and its employees and representatives from any and all claims, demands, actions, causes of action, judgments, expenses, injuries to person(s) or property sustained or incurred in connection with, or as a result of my participation in the Central Wisconsin Track Club. I agree to hold Mike Schoenfeld, Central Wisconsin Track Club, Adams-Friendship Booster Club and the Adams-Friendship Area School District wholly harmless for any and all liability, loss, expense, or damage it may incur by virtue of allowing me to participate in the Central Wisconsin Track Club, to use its facilities, or to participate in its activities, including any transportation to and from such activities. I have read, understand and agree to the above waiver and release.
Participant name (print)_________________________________
Participant signature____________________________________ Date_______
Parent name (print)____________________________________
Parent signature_______________________________________ Date________