*New Champion Profile Form - Blue Lightning Track Club

ATHLETE'S INFO

Athlete First Name

Athlete Last Name

Athlete preferred Name or Nickname

Gender

Female

Male

Birthdate

Age

Grade

School

ABOUT ATHLETE

Has the athlete participated in track and field in the past?

Yes

No

Which track and field event(s) did the athlete participate in?

Does athlete have other sports experience?

Yes

No

List other sports experience (ie. football, soccer, softball, baseball, basketball, cheerleading, dance, etc.)

Favorite subject(s) in school?

Hobbies

Please list any awards or achievements (community, academic, sports, etc)

Why did you join the Blue Lightning Track Club?

Please list below any additional information that you would like for your coaching staff to know.

ATHLETE'S FOOD & NUTRITION

Favorite Lunch

Favorite Dinner

Favorite Dessert

Favorite Vegetable

Favorite Beverage

Favorite Fruit

On average, how many cups of water does your Champion drink each day?

On average, how many hours of sleep does your Champion get each night?

ATHLETE'S MEDICAL CONSIDERATIONS

Medical Considerations Does your child have a medical condition or allergies which require medication or precautions to practice or compete? This is a quick list for the head coach. More in-depth details will be provided on the physical exam form by your physician. If your athlete has conditions such as asthma, seizures, sickle cell, allergies, concussions, ACL injuries, dietary restrictions, etc. Please list here

PARENT / GUARDIAN INFORMATION

First Name

Last Name

Email

Mobile/Phone

Relationship to Athlete

Did the Parent / Guardian compete in sports in AAU, high school, or college?

Yes

No

If so, please list sports here. If you ran track, list events

Address

Address Line 1

City

State

Zip Code

Occupation

EMERGENCY CONTACT

Emergency Contact Full Name

Relationship to Athlete

Emergency Contact Mobile/Phone

Work or Alternative Phone

Alternate Mobile/Phone