Track and Field Registration CommentsThis field is for validation purposes and should be left unchanged.First NameLast NameNicknameAgeGrade6th7th8th9th10th11th12thBirthdate MM slash DD slash YYYY PhoneAthlete Email AddessMale Male Female Female Shirt SizeShirt SizeYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLShort SizeShort SizeYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLParent InformationFirst NameLast NameAddressCityStateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipPhoneEmail AddressDo you have medical insurance? Yes No Parent 2 Information (if necessary)Parent 2 First NameParent 2 Last NameParent 2 PhoneParent 2 Email AddressParent 2 AddressCityStateZipDo you have medical insurance? Yes No Consent and Waiver(Required) I agree to the privacy policy.CONSENT FOR MEDICAL TREATMENT: I grant permission for any Force coach/participating parent to seek emergency medical treatment in case of injury or accident incurred by my child while participating in a sports event with the Force. LIABILITY RELEASE: I understand that Shreveport Homeschool Sports (The Force), each of its coaches, parents, and representatives, as well as any sports facility utilized for Force sporting events shall not be liable for any mistake of judgment, negligence, or otherwise except in the event of their own individual willful misconduct. I hereby agree, for myself and my child, to hold harmless The Force, each of its coaches, parents, and representatives, as well as any sports facility utilized for Force sports events, against all claims, loss, damage, injury, and liability, however caused, or in any way connected with my child’s participation in Shreveport Homeschool Sports Force Track and Field/Cross-Country or related activities. Name of SignerDate of Signature MM slash DD slash YYYY SIGNATURE