VITFF Athlete’s Sprints and Jumps Clinic – Virgin Islands Track and Field Federation

Athlete Clinic Registration Form

To Register for the VITFF Athlete’s Sprint and Jumps Clinic in St. Thomas or St. Croix you need to have a valid AAU Membership Number.

Click Here to register with AAU

Island you will be attending the VITFF Athlete’s Sprint and Jumps Clinic on

First Name

Last Name

Date of Birth

Place of Birth

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.

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

Yes

Other Status? Please explain:

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

Other Status? Please explain:

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.