Wapiti Striders Track and Field Program May 6 to June 15, 2002 Legion Field, Grande Prairie

The Wapiti Striders Track and Field Club in partnership with Athletics Alberta is pleased to present a developmental Track & Field program for Grades 7 to 9. The program is designed for both boys and girls with an emphasis on Fun, Fitness and Fundamentals. No previous experience in track and field is necessary! Athletes of all abilities are welcome.

The program will be offered on Mondays and Thursdays (5 to 6:15 p.m) and Saturdays (10:30 to 11:45 a.m.) over 6 weeks from May 6 to June 15 at the Legion Track in Grande Prairie.  Participants will be prepared to try out for a spot on the Zone 8 track and field team for the 2002 Alberta Summer Games in Camrose.

You will receive:
· Instruction in all running, jumping and throwing event areas including speed training, overall conditioning and technical knowledge of the basic track & field events.
· Instruction from volunteer community coaches and athletes.
· Access to modern training facilities and equipment (a legacy of the 2000 Alberta Games)
· Membership in the Wapiti Striders Track and Field Club
· Local competitive opportunities:

Volunteer Coaches :
  Bill Corcoran and Rick Scott GPRC Wolves X-C coaches
  Doug Harper    Level 2 NCCP Throws Coach
  Amy  Caissie   2001 Francophone Games Team Member
  Laurie Remple, Terry Smith, Gary Stone, Darren Foley and members of the Comp Track and Field team
Note: Parents will be asked to assist with officiating on the Saturday morning competitions.

Registration Fee: $50 ($80 for 2 or more from the same immediate family); make cheques payable to Wapiti Striders Track Club.

Registration: Bring signed registration form to the first session on May 6; fee is due after first week.
 

Participant’s name:______________________________

Address :____________________________________________________________

Postal Code :______________________________

Male_____ Female_____  Date of Birth (mm/dd/yy):_______________

Alberta Health Care number :______________________________

Parent/Guardian’s name :______________________________

Home Phone Number :_______________________Work Phone Number :_______________________

E-mail: ________________________________

ATHLETICS ALBERTA – Informed Consent Agreement

Risk:
 I, the undersigned understand and acknowledge that participating in Athletics Alberta’s programs and activities might result in personal injury, property damage or loss, and possible death. I fully understand the risks and hereby agree to participate in programs or activities of events which are sanctioned/approved by Athletics Alberta, its divisions, its member clubs or recognised organising societies (hereafter referred to as “the Association”), voluntarily and at my own risk.
Rules:
 I understand that the rules and regulations are designed for the safety and protection of participants and hereby agree to abide by the rules and regulations set down by Athletics Alberta.
Liability:
 In consideration of acceptance of my participation in programs or activities of the event which is organized, operated or sanctioned by the Association, I agree that Athletics Alberta, its officers, directors, employees, coaches, volunteers, sponsors, members, agents and representatives of these parties shall not be liable for any personal injury, property damage or loss arising from or in any way resulting from my participation, unless such injury, loss or damage is caused by the above named agencies or their volunteers, sponsors, employees or agents while acting within the scope of their duties.

I confirm that I am: ____ under the age of 18 years / ____ of the full age of 18 years, have read, understood and agree to the contents if this Informed Consent Form in its entirety.

Witness:_________________________ Participant:________________________
Print name of witness:___________________ Print name of Participant:_______________
Signed (day/month/year):________________________

If under18:
I as the parent/guardian of the participant named herein hereby declare that I have read, understood and agree to the contents of the Informed Consent Form in its entirety. I as the parent/guardian of the participant named herein hereby agree to assume full responsibility to instruct my child of the risks involved, and to inform him/her of the importance of abiding by the rules, and regulations of Athletics Alberta.

Signature of Parent or Guardian :______________________________
Print name of Parent or Guardian :______________________________
Signed (day/month/year):________________________