Athlete Name:    

Contact Number:

Include on list:  y /n

Text Message okay: y / n

Athlete Email: Include on list: y / n Receive club emails:  y /n

Parent Name(s): Contact Number:

 

Include on list:  y /n

 

Text Message okay:  y /n

Contact Number:

Include on list:  y /n

Text Message okay:  y /n

Parent Email:

Include on list:  y /n

Receive club emails:  y /n

Parent Email:

Include on list:  y /n

Receive club emails:  y /n

□  I decline to provide contact information. I understand I will be excluded from out boun dcommunications.

 

Emails sent from the club, coaches or administrative personal will be sent as BCC to protect privacy. Information will not be shared, sold, or otherwise used outside of Club Northwest or used for non-club-relatedpurposes.

A contact database will be created with athlete/parent names, emails, and phone numbers to help facilitate communication during the season. This information will not be shared with those outside of Club Northwest. Information will not be used for purposes other than coordinating club activities. By declining to provide your information, you agree that you will not receive outbound communications from Club Northwest. By submitting your information and agreeing to receive communications, you agree to these terms andconditions.

AthleteSignature                                                                                                      Date                                          

ParentSignature                                                                                                        Date                                          

Club Northwest Youth Track and Field Permission to useLikeness

Parent/Guardian must grant permission for athletes 17 years of age oryounger

 

I,                                                                              , do hereby give my permission for my (or in the case of a minor, my dependent child’s) likeness and/or photograph to be used for informational and promotional purposes for Club Northwest and/or Club Northwest Youth Track and Field. (Including but not limited to: print, video, social media, and internet).

Club Northwest agrees to make every effort to protect the privacy and dignity of the athlete. If the athlete or athlete’s parents (in cases where the athlete is a minor) requests that a picture be removed, it will be done so as soon as possible. In the case of a printed picture, this will be done the next time it goes toprint.

Name of Athlete

Athlete Signature (Signature of Parent/Guardian ifunder18)           Date

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