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GLOBAL TRACK AND FIELD ASSOCIATION, INC.
CLUB MEMBERSHIP APPLICATION
Club Membership Year is September 1 to August 31
“Membership Rate is only $15.00 Join Today!"

Choose Program Type: Youth Club Adult Club Youth and Adult Club

Choose Genger of members: Male Female Both

Club Name:

Club Representative:

Name:
First Middle Last

Street Address:

City: State: Zip Code:

Country:

Home Phone: Work Phone:

Cell Fax:

Email Address:

Web Address:

Alternate Representative:

Name:
First Middle Last

Street Address:

City: State: Zip Code:

Country:

Home Phone: Work Phone:

Cell Fax:

Email Address:

If accepted as a member, we agree to abide by the bylaws, policies and procedures, of Global Track and Field Association, Inc. We further acknowledge that all of our representatives listed on this application meet the required membership eligibility.

Primary Sport Club is Participating:

Age Division:

Please enter your coaches name and email address to be issued a "Length of Event"(LOE) pass. For each coach you entered they will recieve a pass for every 10 athletes in the club that register for the events. There will be a $5.00 change added to the membership fee.

Coach 1: Coach Email 1:

Coach 2: Coach Email 2:

Coach 3: Coach Email 3:

Coach 4: Coach Email 4:

Coach 5: Coach Email 5:

Coach 6: Coach Email 6:

Coach 7: Coach Email 7:

Coach 8: Coach Email 8:

Please enter the number of coaches you have entered above. For each coach you entered there will be a $5.00 charge added to the membership fee.

x $5.00

Total Membership Fee:$

Card Number:

Exp. Month:

Exp. Year:

CVM: