1 LANGLEY MUSTANGS TRACK & FIELD REGISTRATION For 2015 LEVEL: TRACK RASCAL Training Group Ages 6 - 8 (as of Dec. 31st, 2015) Born in 2009/2008/2007 The track rascal program is a RunJumpThrow (RJT) non-competitive program for those athletes that would like to try track and field for the first time and want a fun recreational experience. Developed by Athletics Canada, RJT is the grassroots development program for our sport. This FUNdamentals program teaches the skills of running, jumping and throwing and the technical skill progressions for track and field events. It is designed for boys and girls ages 6-9, has progressions for older athletes, and can be adapted for special needs. RunJumpThrow skills form the basis of all land based sport and as such, RJT provides a strong foundation for success in all sports and physical activities, which allows participants to develop a positive self-image and be the best they can be. RJT is:       Integrated for development at all levels Broad based and progressive FUNdamental to all land based sports Inclusive for all abilities and maturational stages Adaptive to special needs and athletes with disabilities Gender equitable RJT stresses:     Skills of RUNNING, JUMPING and THROWING in age appropriate sequential progressions Individual improvement and positive reinforcement FUN and active learning environment Improvement in physical and emotional well being Schedule: Location: At the track at MacLeod Athletic Park. Time 6:00 to 7:00 pm, Tuesdays and Thursdays (athletes can choose one or two days a week to attend) Start Date: Tuesday, April 14 Final Practice: Thursday, June 18 (total of 10 weeks) 2 Registration and Information: Please enclose the following with this application:   Completed and signed club Membership Application Form (page 3) Completed and signed BC Athletics Application Form (separate document)  Payment: One day per week – $70.00 Two days per week - $120.00  If first year with the Club, we require a photocopy of your child’s government issued ID that indicates date and year of birth. All athletes will receive a Langley Mustangs Track T-shirt as part of their registration.  Registrations can be mailed to: Langley Mustangs Box 1733 Aldergrove, BC V4W 2V1 Membership Cancellation Policy: If you wish to cancel your membership in Langley Mustangs Track and Field Club within the first 2 weeks of membership a full refund will be granted. The BC Athletics membership fee is non-refundable. Breakdown of Registration Fees: CATEGORY Track Rascals – Once per week Track Rascals – Twice per week AGE GROUP SEASON FEE BC ATHLETICS TOWNSHIP FEE (insurance) TRACK USE FEE TOTAL DUE 6-8 $50.00 $15.00 $5.00 $70.00 6-8 $90.00 $15.00 $10.00 $115.00 3 Langley Mustangs Membership Application Form DECLARATION: I have read the information on membership and agree with these terms. I would like my child to become a member of the Langley Mustangs Track Rascals Training Group. Signed (parent/guardian) ________________________________ Date_________________ Athlete’s Last Name____________________________________ First Name__________________ Address_______________________________________________ Postal Code ______________ Home Telephone_________________ Mobile _________________ Parent’s email________________________________ Athlete’s email______________________________ Date of Birth (YY/MM/DD) __________________ Mother’s Name________________________ Father’s Name ________________________ Emergency Contact _________________________ M /F____ Grade____ Work Phone____________________ Work Phone____________________ Phone ____________________ Family Physician ___________________ Phone______________ Care Card Number____________________ Please note any health problem, physical handicap, emotional difficulty, behaviour problem, or other factors that may limit full participation in the Langley Mustangs. __________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________ List any medications, prescription or over-the-counter, taken on a regular basis. Note dosages and medication scheduling. ________________________________________________________________________________ In case of an emergency, I hereby give permission to the physician selected by the coaches/officials of the Langley Mustangs to provide the necessary treatment for my child. The responsibility of Sport Safety must be shared by all. I the undersigned am aware there is certain risk of injury involved in my own or my child’s participation in sport, either while travelling to or from the event, or while attending or participating in the programs or activities of the events which are sanctioned/approved by the Langley Mustangs Track & Field Club. It is understood that the signing of this document is intended to indicate that on behalf of myself and/or my child, I assume the shared responsibility and acknowledge the risk or injury by so participating. Parent/Guardian Signature_____________________________ Sport Safety Acknowledgement of Risk Date____________________