Then 2012 Virgin Islands Track & Field Federation CLUB/ORGANIZATION Registration Form
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The Virgin Islands Track & Field Federation
CLUB/ORGANIZATION Registration Form 2012)
To register a track and field club for and remain in good standing with The Virgin Islands Track and Field Federation it is required this form be completed. Upon completion of this registration form, the annual membership fee of $100.00 is required. This information and a scanned digital copy of club's constitution, bylaws and 501 3c documents must be submitted to the VITFF (see mailing address and email address below) for approval. Upon approval you will then receive your official VITFF Registration Number. The club will then will be eligible for VITFF,Virgin Islands Olympic Committee and International Association of Athletics Federations benefits and privileges.
Note: This form is updated regularly and may require additional information on request...
1
. Your Status for 2012
Your Status for 2012
New Registration:
Registration Renewal:
2
. Please provide accuarate information:
Please provide accuarate information:
Club Name:
President:
Secretary:
Mailing Address/City:
Island:
Zip Code:
Telephone Number:
Telephone Number President:
Telephone Number Secretary:
Fax Number:
Email Address:
Email Address President:
Email Address Secretary:
Website Address:
3
. Please check the appropriate sport code associated with this club:
Please check the appropriate sport code associated with this club:
Track
Field
Road Running/Long Distance Running
Cross-Country Running
Ultra-Marathon Running
Mountain/Trail Running
Race Walking
4
. Type of Club/Organization
Type of Club/Organization
Competitive Club:
Event Organizer:
Corporate:
Fitness:
Other:
5
. Club/Organization age-group focus
Club/Organization age-group focus
Youth:
Junior:
Open:
Master:
6
. Active Membership
ATHLETES:
COACHES:
Active Membership ATHLETES: COACHES:
Number of Senior Men (20 to 39):
Number of Senior Women (20 to 35):
Number of Junior Men (18 to 19):
Number of Junior Women (18-19):
Number of Boys (16 to 17):
Number of Girls (16 to 17):
Number of Boys (Under 16):
Number of Girls (Under 16):
Number of Masters Men (40 and over):
Number of Masters Women (35 and over):
Number of IAAF Certified Coaches:
Number of non-certified Coaches:
7
. Does this club/organization have medical insurance; liability insurance?:
Does this club/organization have medical insurance; liability insurance?:
Medical Insurance:
Liability Insurance:
8
. What is the name this club/organization's insurance company?
What is the insurance coverage?
What is the name this club/organization's insurance company? What is the insurance coverage?
9
. Is this club affiliated with organization/s other than the Virgin Islands Track and Field Federation?
If so please list here:
Is this club affiliated with organization/s other than the Virgin Islands Track and Field Federation? If so please list here:
*
10
. Does this club have 501 3c status?
Does this club have 501 3c status?
YES:
NO:
Applied for:
*
11
. Is this club registered with the Government of the Virgin Islands:
Is this club registered with the Government of the Virgin Islands:
Yes:
No:
*
12
. Is this club in good standing with the Government of the Virgin Islands:
Is this club in good standing with the Government of the Virgin Islands:
Yes:
No:
*
13
. To be eligible for Virgin Islands Track & Field Federation membership, club/organization must be non-profit, duly recognized by the Government of the Virgin Islands (only V.I. Government registration accepted) and complete this form and meet applicable criteria.
The annual registration fee is $100.00
Please send your payment by mail to:
The Virgin Islands Track and Field Federation
P.O. Box 223094
Christiansted, St. Croix,
Virgin Islands 00822
By registering with the VITFF this club/organization are supporting the development of track and field in the Virgin Islands. The Virgin Islands Track and Field Federation is a non-profit organization affiliated with The International Federation of Athletic Federations, The Virgin Islands Olympic Committee, the North America, Central America and Caribbean Athletics Confederation and the Central America and Caribbean Athletics Confederation and the Leeward Islands Athletics Association...
President please sign here:
To be eligible for Virgin Islands Track & Field Federation membership, club/organization must be non-profit, duly recognized by the Government of the Virgin Islands (only V.I. Government registration accepted) and complete this form and meet applicable criteria. The annual registration fee is $100.00 Please send your payment by mail to: The Virgin Islands Track and Field Federation P.O. Box 223094 Christiansted, St. Croix, Virgin Islands 00822 By registering with the VITFF this club/organization are supporting the development of track and field in the Virgin Islands. The Virgin Islands Track and Field Federation is a non-profit organization affiliated with The International Federation of Athletic Federations, The Virgin Islands Olympic Committee, the North America, Central America and Caribbean Athletics Confederation and the Central America and Caribbean Athletics Confederation and the Leeward Islands Athletics Association... President please sign here:
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