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Are you training for a future Olympic? (_______), Are you training as a serious competitor? (_______) and/or, are you training for local fun and competition? (_______).
The following information is Internet material. Please print.
I.
#You practice for which of the following events?
FIELD:
Shot put (Sp)___, discus (Ds)___, hammer (Hm)___, pole vault (Pv)___. Jumps; (Hj)___, (Tj)___, (Lj)___.
TRACK: all in meters, 1500m -> 1600m, we will only recognize walkers willing to walk 800m sprints.
1600___, 800 (RW)___, 800___, 400___, 200___, 100___. Hurdles; 400 (H)___, 300 (H)___,
110 (H)___, 100 (H)___, 80 (H)___.
#You are available to train at approximately what part of the day or night?
Early mornings _____ late mornings_____, early afternoons_____ late afternoons_____
Early evenings _____ late evenings_____ twilight_____ nights_____ I'm flexible _____
#Your mailing address for (PTFA)'s use. Please print.
#Contact who: ________________________________________________
(D.O.B.)Mo._____Dy._______Yr.____(M/F)_____
Street Address:________________________________________________
City, state &, zip: ______________________________________________
Do you want your address published on the Internet? Yes _____ No _____ Maybe later _____ .
Mail this form to:
(PTFA), P.O. Box 1272, Redan, Ga. 30074-1272 along with your annual (from the date of our acceptance) $15 check or money order payable to Professional Track & Field Assoc.. Payment must accompany this form.
(PTFA) operates with an extensive use of birthdates, it is required. We reserve the right to limit the amount of time and kind of information given over our web pages at all times. (PTFA)'s webpages, prices and, forms are subject to change without notice. The applicant agrees to allow the Professional Track And Field Association to periodically republish at (PTFA)'s discretion, his/her name, d.o.b., state, county, city of training and, their track and field team's name and actions in preparing for and competing in competition, for income producing purposes and agrees to not hold (PTFA) liable for breach of contract because of computer, electronic machinery, software and , company programming, glitches, malfunctions, shut downs and updating complications.
Any and all contacts made between the applicant and others, as a result of (PTFA)'s electronic productions and printed publications and live entertainment programming are made totally at the applicant's risk. The applicant agrees to release from all liabilities the Professional Track And Field Association, its' management and, affiliates.
Applicant's printed (First-last) ________________________________________
Applicant's approval _______________________________________________ Date: ____________
-----------------------(PTFA)----------------------
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