Waterloo Track & Field Club

Membership Form

Please fill out as much of the following as possible. Print clearly please.

Today's date ____/______/____ Birthdate ____/_____/____ Sex _____

Name ____________________________________ Phone (_____)_______________

Address _________________________________________________________________

City__________________________________ State_____ Zip___________________

Email address ____________________________________________________________

Emergency Contact Name & Phone ___________________________________________

Events you're interested in ___________________________________________________

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Current Training level, history, background, achievements, goals, comments, and whatever else you'd like to share (This information is used to help us help you! We'll pair you up with a similar partner at workouts, and also gear workout schedules to match your goals.)

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Please send this form along with $20 (checks made payable to the Waterloo T&F Club) to:

The Waterloo Track and Field Club
4112 Burnet Rd
Austin, TX 78756

Welcome!