Register for Cross Country

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Choose Location for Standard Program(Required)

Community House MS

South Charlotte WAITING LIST

Select Your Option(Required)

Community House XC - $219

South Charlotte WAITING LIST - $0

South Charlotte Waiting List

Because the South Charlotte location is full, you can either select the Community House Location or, choose to be put on a Waiting List for South Charlotte.

If you select waiting list, please complete the registration as normal. You will not be charged for the program unless you are notified of an opening. Your place will be held in the order we receive the registrations. You MUST complete the registration to be placed on the waiting list.

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Add Pre-Conditioning?(Required)

Available at Community House Location Only.

Yes, you can register for South Charlotte location for Standard Season, and still do Pre-Conditioning at Community House.

Pre-Conditioning

No Pre-Conditioning

Athlete's Information

Please fill out all of the required fields in this section.

Athlete's Name(Required)

First Last

Gender(Required)

Male

Female

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Qualification(Required)

My School does not have a cross-country program

I am a homeschool athlete

Fit180 XC is open to homeschoolers and athletes attending schools that have no cross country program. Athletes must qualify under one of the above choices.

School(Required)

Grade(Required)

Date of Birth(Required)

Birthday of Athlete

First Time Registration?(Required)

If you have already completed a registration for this athlete for a former program, you can choose to SKIP or UPDATE your Contact and Medical Information.

This is the FIRST TIME my athlete has participated in any Fit180 Program

Athlete HAS PARTICIPATED in a former Fit180 program.

Has Your Medical and Insurance Information Changed?(Required)

This includes relevant conditions, critical allergies, over-the-counter medication, insurance and Doctor information. If nothing has changed since your last registration, please select No.

NO. My Medical Information has not Changed. Skip this section.

Yes. I need to UPDATE or PROVIDE medical information

Contact Information

Contact information is for advising and coordination of program information. This information is kept private and is not sold or offered to any 3rd party.

Primary Email : Parent/Guardian(Required)

Enter Email Confirm Email

Additional Email (Optional)

Enter Email Confirm Email

Parent Information

Mother's Name

First Last

Mother's Cell

Father's Name

First Last

Father's Cell Phone

Athlete's Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Other Authorized Guardian(Required)

All authorized guardians are listed above

I wish to authorize another authorized guardian for pickup/drop-off

Guardian's Name

First Last

Cell (Additional Guardian)

Medical & Insurance Info

Medical Information

Please fill out all fields in this section

Medical or Allergy Conditions(Required)

By signing this form, you are affirming that our child is medically and physically fit to take part in strenuous exercise. However, if there is anything we should know regarding allergies, medicine, or medical conditions, please select the second option and let us know.

My child has NO medical or allergic conditions that you need to be aware of.

My child has a medical or allergic condition you need to be aware of.

Please list anything your child is allergic to (drugs, pollen, nuts, etc):(Required)

Does your child have any of the following?

Asthma (incl. exercise-induced asthma)

Diabetes

Epilepsy

Is your child currently taking any medications that we should be aware of?(Required)

Yes

No

Please list those medications:(Required)

Is there additional information we should know about your child's health or physical condition?(Required)

Yes

No

Also use this to explain any conditions listed above.

Please explain:(Required)

Insurance Information

Please fill out all fields in this section.

Name of Insurance Company(Required)

Policy Name and Number(Required)

Physician's Name(Required)

Dr's Phone(Required)

Informed Consent and Terms & Conditions

Authorization for participation and emergency treatment.(Required)

I hereby give permission for my athlete (Named Above), to participate in Fit180 Athletics programs. Further, I authorize the club to provide emergency treatment of any injury or illness my child may experience if qualified medical personnel consider treatment necessary and perform the treatment. This authorization is granted only if I cannot be reached and reasonable effort has been made to do so. My child and I are aware that participating in conditioning, track and field and cross country is a potentially hazardous activity. We assume all risks associated with participation in this sport, including, but not limited to falls, contact with other participants and other reasonable-risk conditions associated with the sport. All such risks to my child are known and understood by my child and me. We understand this informed consent form and agree to its conditions.

COVID-19 Risk Acknowledgement and Release.(Required)

In consideration of my minor athlete (ATHLETE) being allowed to participate in any Fit180 Athletics program(s) and related events and activities, the undersigned acknowledges, understands, and agrees that: Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, I KNOWINGLY AND VOLUNTARILY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my ATHLETE’S participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation as regards to protection against infectious diseases. If, however, I observe any unusual or significant hazard during my ATHLETE’s presence or participation, I will remove my ATHLETE from participation and bring such to the attention of a Fit180 Athletics staff person immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Fit180 Athletics, their officers, officials, agents, coaches and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Image Release(Required)

In consideration of my minor child/ward being allowed to participate in any way in the Fit180 Athletics Club program, related events and activities, the undersigned agrees that such participants’ likeness may be photographed or videotaped and that such image may be published in our outlet used to promote or publicize the sports program.

Terms and Conditions

CODE OF CONDUCT Parents • Be a positive role model. • Encourage good sportsmanship among all athletes. • Be supportive of coaches and meet officials. • Respect the coach’s ability to teach and coach your child. Parents may discuss the training program with coaches following practice, if time permits. It is recommended that parents schedule time separate from practice to meet with the coach to discuss concerns. • Arrive to meets at the time given to you by the coach and check in at the designated team area. • Place the physical and emotional well-being of your child above any personal desire that they have to win. • Remember, children are involved in organized sports for their enjoyment, not ours. Be supportive and encourage them to enjoy themselves and to do their best. Athletes • Arrive at practice ready to listen, work hard, learn and give my best effort. • Do your best to be at every scheduled practice. Be on time and prepared. Late athletes will not be allowed to participate in training activities without completing a warm-up. Practices will not be delayed or extended to accommodate late arrivals. • Learn the rules and always compete by them. • Be respectful of coaches, officials, parents, teammates and competitors on other teams. Treat others as you wish to be treated. • Inappropriate behavior and/or language will not be tolerated. Conduct which is not in compliance with the Code of Conduct and/or which is detrimental to the club may result in an athlete's dismissal from the club. FEES WILL NOT BE REFUNDED IN THE EVENT OF DISMISSAL

CANCELLATION POLICY for all Fit180 Programs. Cancellation Fee: There will be a $20 Cancellation Fee for any refund of funds at any time after payment has been received. Maximum Refund will be: (a) If more than 48 hours prior to the start of the program, you will receive a full refund, minus cancellation fee (above), and any other expenses that have been applied, such as uniforms, race fees, etc.., or (b) if after 48 hours prior to start of the program, Maximum refund will be 50% of total program fees. Fit180 Athletics holds the right to further prorate the refund based on the actual participation of the athlete, and expenses incurred. At no time will the refund be greater than 50% of total program fees.

Signature of parent or guardian(Required)

Type in your full name for an electronic signature. By signing above, you agree to the Terms and Conditions, Image Release, and Authorization for Participation as detailed above.