Team Steve Speed & Hurdle Camp
****Bring a copy of a current physical, signed by a physician, when you arrive at the camp. We will not be able to allow you to participate without an updated physical on file.****
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Athlete's First and Last Name *

 
Athlete's Age *

 
Athlete's Gender *

 
Address (street, city, state) *

 
100m Personal Best (if applies)

 
200m Personal Best (if applies)

 
400m Personal Best (if applies)

 
80h Personal Best (if applies)

 
100h Personal Best (if applies)

 
110h Personal Best (if applies)

 
200h Personal Best (if applies)

 
300h Personal Best (if applies)

 
400h Personal Best (if applies)

 
Name of school you currently attend:

 
Name of track club (if you run summer track):

 
Number of years you've been running track:

 
Number of years you've been hurdling (if applicable):

 
Check the appropriate T-Shirt Size: *


 
Do you have any dietary restrictions? If yes, please elaborate below:

 
Disclaimer: I will not hold Team Steve Sprint & Hurdle Camp nor JDL Castle Corp liable for any injuries I may incur while attending the Team Steve Sprint & Hurdle Camp at the JDL Fast Track facility. *


 
(Athlete) By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *

 
(Parent if athlete is under 18 years of age) By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *

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