**C11 - New Champion Profile Form (#108)Step 1Step 2Step 3Step 4Step 5ATHLETE'S INFOAthlete First NameAthlete Last NameAthlete preferred Name or NicknameGender Female MaleBirthdateAgeGrade- Grade -Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeSchoolPreviousNextABOUT ATHLETEHas the athlete participated in track and field in the past? Yes NoWhich track and field event(s) did the athlete participate in?Does athlete have other sports experience? Yes NoList other sports experience (ie. football, soccer, softball, baseball, basketball, cheerleading, dance, etc.)Favorite subject(s) in school?HobbiesPlease 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.PreviousNextATHLETE'S FOOD & NUTRITIONFavorite LunchFavorite DinnerFavorite DinnerFavorite DessertFavorite VegetableFavorite BeverageFavorite FruitOn average, how many cups of water does your Champion drink each day?- Select -12345678910On average, how many hours of sleep does your Champion get each night?- Select -3-44-56-78-910+PreviousNextATHLETE'S MEDICAL CONSIDERATIONSMedical 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 herePreviousNextPARENT / GUARDIAN INFORMATIONFirst NameLast NameEmailMobile/PhoneRelationship to Athlete- Select -MotherFatherGranparentAuntUncleCousinBrotherSisterGuardianOtherDid the Parent / Guardian compete in sports in AAU, high school, or college? Yes NoIf so, please list sports here. If you ran track, list eventsAddressAddress Line 1CityStateZip CodeOccupationEMERGENCY CONTACTEmergency Contact Full NameRelationship to Athlete- Select -MotherFatherGranparentAuntUncleCousinBrotherSisterGuardianOtherEmergency Contact Mobile/PhoneWork or Alternative PhoneAlternate Mobile/PhoneSubmit Champion Profile Previous Copy this page link your calendar, email, or text.
