The Dr. Robert Cade Family Presents:
The 39th Annual Florida Track Club – 2012 Register here.
Junior Champs Summer Track, Field and Running Program
(Ages 6 – 14) Time: 8:30 – 10:30 am daily – *weather permitting
July 2-July 6 – not July 4th July 9-July 13
July 16-July 20
When: Week 1 Week 2 Week 3
June 11-15 Week 4
June 18-June 22 Week 5
June 25-June 29 Week 6
Where: KIWANIS CHALLENGE TRACK (1 block behind NW 39th Av and the Girls Club)
Contact: Coach-Joel Dunphy 375-3064
Registrar, Mrs. Geri Baham 333-3731 Program Director, Donita Burke- Higgins 332-0770
E-mail: ftcjuniorchamps@yahoo.com for a registration/flyer
Cost: $15.00 per week/$12 for July 2-6 (on-site registration available)
$75.00 for six weeks (postmarked no later than June 8, 2011) includes T-shirt
Pre- Register more than one child and take $5.00 off each additional child for the 6 weeks program only.
No refunds, due to the low cost of the program
* Inclement weather may cancel a session; however, every attempt will be made to make it up.
2011 JUNIOR CHAMP TRACK, FIELD AND RUNNING REGISTRATION
1. Name __________________ Age ___ Date of Birth _________
2. Name________________ Age ___ Date of Birth ________
Home Address ________________ City _________ Zip ____
Emergency Contact: Name ___________ Phone _________
Medical considerations ______________________________
E-Mail: _______________________________
___Week 1 June 11-15 ___Week 3 June 25-June 29 ___Week 5 July 9 – 13 ___Week 2 June 18–June 22 ___Week 4 July* 2-June 6 Not the 4th ___Week 6 July 16 – 20
Make checks payable to: Florida Track Club/Junior Champs 424 NW 103rd Terrace Gainesville, FL 32607
T-SHIRTS GUARANTEED ON PRE-PAID basis only
Junior Champ Shirt is available for $10.00 Check Size:
Youth: ___ S ___ M ___ L Adult: ___ S___ M ___ L
TOTAL COST SUBMITTED _________________
I, the undersigned, waive and release any and all rights and claims for damages against the Florida Track Club, The Dr. R. Cade family, Gloria De Foundation, City of Gainesville and any sponsors, and their representatives for any and all injuries suffered in said event. I further understand youth are participating at his/her own risk and are aware of the dangers of physical activity in hot weather. I am aware that my insurance is to cover any injuries that may result in the program. In the event of in-climate weather, the day’s events will be cancelled due to lack of indoor facilities.
Signed ______________________ Date ___________
Signature of legal guardian/parent
