2024 Track Camp Registration Form

Payments are made payable to West Marshall and can be mailed to the school or brought with you that day but we must have payment by that day. West Marshall Track Camp/ PO Box 670/ State Center, IA 50247

2024 MS/HS Track Camp

Will be hosting 3 different sessions on July 13th starting at 8:00 am for shot put/discus, 10:00 am hurdles and 1:00pm with long/high jump. You can attend 1 session or all 3. Cost is $10.00 per session at the HS track/football complex.

Please CHECK the grade level the participant will be in the Fall of 2024*
- 7th grade
- 8th grade
- 9th grade
- 10th grade
- 11th grade
- 12th grade
Please CHECK the grade level the participant will be in the Fall of 2024.
Participants FIRST NAME*
Participants Street Address*
City, State and Zip Code*
Emergency Contact to Player (First, Last)*
Emergency Contact Relationship to player*
Emergency Contact phone number*
Medical Health Disclosures
Please list any medical/health concerns you with for the Camp-Cordinators to be aware of. (optional)
Parent/Guardian Name (First, Last)*
Primary Contact Number of Parent/Guardian*
Primary Contact EMAIL of Parent/Guardian*
Consent*
- Submission of the form
I hereby agree to the participation of my child in the above mentioned activity. Potential injuries could include but not limited to, sprains, strains, fractures, abrasions, dislocations, concussions, and other physical injuries. West Marshall Community School District does not provide accidental insurance for students enrolled at school or participating in school sponsored activities. Any treatment associated with injuries are the responsibility of the parent/guardian.