Woonsocket Parks & Recreation
Proudly announces its 2nd Annual
“Intro” to Track League
Thinking you might like to join the Middle School or High School Track Teams? This is the perfect place to start!
Learn that it isn’t all about running; Sample a handful of the events like
High Jump, Long Jump, Shot Put, Hurdles, 200M, 400M, Relays and More!
Ages 9 – 13 years old
Season July 24th – August 17th
Tuesday & Thursday
8:15am- 9:30am
Dionne Track
$10 per child
Registration is now Open until July 14th
Professional & Experienced Coaches on hand to help you!
&
Registration is Easy! Forms are available 24/7 at 1117 River St. in a labeled mailbox with a Locked mailbox beside it for returns.
Forms can be emailed to you as well by emailing me at This email address is being protected from spambots. You need JavaScript enabled to view it. or message on
Facebook: Woonsocket Parks & Recreation
1st Child’s Name: ________________________________________
Date of Birth: _____________________ Age: ______________
Allergies: ________________________ Inhaler? Yes or No
Experience: _______________________
Shirt Size (circle one): Child Large / Adult Small / Adult Medium / Adult Large
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2nd Child’s Name: ________________________________________
Date of Birth: ____________________ Age: _____________
Allergies: _________________________ Inhaler? Yes or No
Experience: ________________________
Shirt Size (circle one): Child Large / Adult Small / Adult Medium / Adult Large
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Parent or Guardian: ____________________________________________
Address: _____________________________________________________
Phone: ___________________________________________
Email Address: ____________________________________
Second Phone/Emergency: ______________________________________________
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* This is a FUN RECREATIONAL League consisting of a wide variety of skills and experience. We will work on strengthening skills and learning the game. We will insist on an environment of good role models and Positive peer pressure. We will work to build individuals of this running community UP, through exercise, discipline, coaching, mentoring and our common interest in track.
* Individuals will be given ONE CHANCE and one chance alone. There will be no name calling, walking off the track, swearing or disrespect of any kind to anyone. We are not perfect, but in the interest of keeping this fun for everyone, we can not and will not tolerate unsportsmanlike behavior. We will expel players from the league with no monetary refund for offensive behavior to another player, coach or referee. __________ INITIAL HERE!!!!
* Attendance is crucial to the progression of learning the sport and being part of a team. This is our second year running a league for younger kids in preparation of them possibly joining the schools teams. The more commitment that is shown especially through attendance, the more prepared they will be.
* ONE Shirt will be provided. If you loose it, there is a $12 re-order fee. Additional shirts may be ordered now for $8.
X ___________________________________________ _____________________
I have read and understand the above statements date
Track 2017
Woonsocket Parks & Recreation
RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT
_Summer Basketball/Soccer/Track Leagues_
Activity/Program Name
I agree to the use of my child’s name or likeness including photos or videos for public promotion of the Woonsocket Parks and Recreation Department and its programs. I am permitting that these photos/videos be used in newspaper articles, department displays and advertising etc.
Circle one: Yes or No Initial _________
I hereby agree to permit my child to participate in the above program sponsored by the Woonsocket Parks & Recreation Department, its officers, directors, employers, employees and agents (herein collectively called “The City”) upon the understanding that:
My child is being treated for a medical condition: Yes______ No _______
If yes, please explain ___________________________________________
_____________________________________________________________
I acknowledge that I have consulted with my child’s physician and that my child is physically capable of such participation.
Initial _________
In Registering for the this city activity/program listed above, I hereby WAIVE, RELEASE and DISCHARGE any and all claims for damages for death, personal injury or property damage which I have or may have as a result of participating in said activity/program. This release is intended to discharge the City of Woonsocket, the City Council, the Parks & Recreation Department, officers, agents and employees from and against any and all liability arising from or connected with my child’s participation in said activity/program.
Initial _________
I have registered my child for said activity/program with the full understanding that there are physical risks and dangers in participating. Nevertheless, I voluntarily agree to assume any and all injury and/or death, and to release, discharge and hold harmless all of the entities mentioned above. It is understood and agreed that this waiver is binding and assumption of risk is to be binding on my heirs, personal representatives, next of kin, spouse and assigns.
Initial __________
Child’s name: _______________________________________________
Parent/ Legal Guardian: _______________________________________
Relationship to the Child ____________________________________
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