Annual Membership Registration – Virgin Islands Track and Field Federation

Annual Registration Form Athlete Coach Parent Volunteer

First Name

Last Name

Date of Birth

Place of Birth

Gender

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Are you a citizen of the United States of America

Yes

If you are a U.S. citizen; enter passport number:

Enter Expiration date:

Upload Passport Document Photo

Choose File

If you have resided in the U.S. Virgin Islands, how long and on which islands?

If you are not a citizen of the United States, please answer the following questions on lines A. B.

A. Nationality/ Citizenship of what country do you claim?

B. Are you a Permanent Resident of the U.S.? Yes: [ ] No: [ ]

Yes

Other Status? Please explain:

Athletic Club – Only clubs registered with the Virgin Islands Track and Field Federation will be listed. If your club is not listed select Unattached.

Please provide the following:

Your Coach’s Name

Email Address

Phone/Mobile

If you have competed or coached for a country other than the U.S. Virgin Islands, Please provide the name of the country, the sports, events and competitions competed:

Do you have allergies?

Yes

If Yes explain:

Do you have medical insurance?

Yes

Upload photo of Medical card. Card should clearly type of insurance, name of company :

Choose File

What is your occupation?

Biography—What high school, college did/do you attend? What was your major? Degree/s, honors? If you are a in the military or a veteran, please indicate what branch, what period, career field, honors?

List previous major competitions and best results you have achieved:

I, enter name below, do solemnly swear or affirm that the above information is correct

Digital Signature

Date

I consent to have this website store my submitted information so that I can be registered for the Virgin Islands track and Field Federation.

VITFF Registration Payment.

1 year VITFF Registration $30; 14yrs old and older

1 year VITFF Registration $15; 13yrs old and younger

Pay with Debit or Credit Card

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Subscribe to Annual Federation Signup

$0.00 for each year, for 25 installments

Purchase Annual VITFF Registration

I, enter name below, do solemnly swear or affirm that the above information is correct