7th Annual World AthleteIndoor Track Programs
Moorestown Athletic Center (behind Moorestown HS)
Track and Fitness Training Clinics
January 2, 916
6:30pm-8:15pm
Community Track Meets (Now there are 3 meets!)
January 23,January 30, February 6
6:15pm-9:00pm (Check-in starts at 5:30pm)
WorldAthleteIndoorTrackAcademy - for children 3-14
includes 3 training clinics and 3 track meets for only $145
Each athlete gets a Dri-FIT World Athletet-shirt.
Registration deadline:December 21, 2012. Register today!
World Athlete Indoor Track Meets - for children 3-14
Can’t do the entire track academy? Come to the track meets!
Entry fee: $12 per meet Enter as many events as you like.
40M 200M 400M 800M Mini Hurdles Relays 3lb Shot Put Jumps
Preregistration for the meets is strongly suggested
World Athletepromotesfitness and healthy lifestyles throughthe sport of track and field. All skill levels are welcome!Children are coached in sprinting, hurdling, jumping, relays, throwing events and conditioning. Thousands ofchildren have participated in World Athlete indoor and summer track. For more information, visit
Registration form on the other side of this flyer
609-304-2902
EVERYONE WINS AT WORLD ATHLETE!
The Moorestown Township Board of Education does not necessarily sponsor or endorse the contents of this notice or the organization responsible for disseminating this notice.
WORLD ATHLETE REGISTRATION Referred By:
Name______Age ___School ______
Name______Age ___School ______
Name______Age ___School ______
Address______
City______State _____Zip ______
Home Phone ______Email ____________
Parent/Guardian Name______Cell #: ______
Emergency Contact Name______Phone #: ______
RELEASE:
I certify that my child is in excellent health and may participate in strenuous activities including track and field. I agree to hold World Athlete, LLC, its coaches, staff, volunteers, World Athlete Academy, Moorestown Township Public Schools and the Township of Moorestown harmless from any and all claims of injuries sustained by my child during his/her participation in the Academy. Permission is hereby granted to World Athlete, LLC to use pictures of participants in any promotional materials. Permission is hereby granted for my child to receive medical treatment if needed. I certify that there are no limits on my child’s participation except as stated in writing and included with this release form.
Parent/Guardian Signature ______Date ______
FOR INDOOR TRACKACADEMY (includes 3 training sessions and 3 track meets):
REGISTRATION FEE:_____Athletes@ $145.00 each = $ ______
SPECTATOR FEE:_____ Spectators x $3.00 x ___ # of meets = $ ______
Under age 12 free
DONATION:WorldAthleteAcademy promotes youth track & fitness= $ ______
TOTAL PAYMENT: $ ______
FOR TRACK MEETS ONLY (for children not enrolled in the indoor track academy):
ATHLETE ENTRY FEE: _____ Athletes x $12.00 x ___ # of meets = $ ______
_____ Athletesunder 5 x $8.00 x ___# of meets = $ ______
Team Discount: $10.00 per Athlete for any team that registers 10 or more children
Please check: ___ January 23 meet ___January 30 meet ___ February 6 meet
SPECTATOR FEE:_____ Spectators x $3.00 x ___ # of meets = $ ______
Under age 12 free
DONATION:WorldAthleteAcademy promotes youth track & fitness= $ ______
TOTAL PAYMENT: $ ______
PAYMENT OPTIONS:
1) Make your check/money order payable to:3) Online registrationat
WorldAthleteTrackAcademy
Mail checks to:4) Cash accepted on-site for track meet registration
WorldAthleteTrackAcademy
4 Marcy Court
Mt.Laurel NJ 08054
2) Credit Cards Accepted: MasterCard, Visa and Discover
Card #: ______Exp. Date (MM/YYYY) ______