The 2017 Virgin Islands Track and Field Federation ATHLETE Registration Form

The Virgin Islands Track & Field Federation
ATHLETE Registration Form 2017)

To register for and remain in good standing with The Virgin Islands Track and Field Federation you are required to complete all the following questions on this the VITFF registration form. Upon completion of this registration form, you are required to pay the annual $25.00 (ages 14 and under pay $10.00) VITFF registration fee. This information and a scanned digital color copy of your Passport 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 and Registration Card. You will then will be eligible for VITFF, Virgin Islands Olympic Committee and International Association of Athletics Federations benefits and privileges.

Question Title

* 1. Your Status for 2017

New Registration:

Registration Renewal:

Question Title

* 2. Please provide accuarate personal information:

Last Name:

Middle Name:

First Name:

Passport Number:

Passport Issue Date:

Passport Expiration Date:

Where was your Passport issued(you are required to provide a scanned color copy of your passport to the VITFF with this registration):

What is your place of birth?

What is your mother's place of birth?

What is your father's place of birth?

Mailing Address/City:

State:

Country:

Zip Code:

Home Address/City:

State:

Country:

Zip Code:

Home Telephone Number:

Work Telephone Number:

Cell Telephone Number:

Fax Number:

Email Address:

Website Address:

Question Title

* 3. What is your Sex?

Male:

Female:

Question Title

* 4. What is your age?

Question Title

* 5. What is your date of birth: [DD/MM/YYYY ie. 01/10/1988]

Question Title

* 6. Are you a United States Citzen:

Yes:

No:

Question Title

* 7. If you are NOT a United States Citizen, what is your country of citizenship:

Question Title

* 8. If you are not a United States Citizen and live in the United States, what is your official Status (you are required to provide a copy of your official documentation to the VITFF along with this registration?

Question Title

* 9. If you are a member of a club,what is the name of your club?
What is the VITFF number of your Club: (If you are not a member of a club, enter N/A on each line...

Club Name:

Club Number:

Question Title

* 10. Please check the appropriate sport code (your focus as a track and field athlete):

Track

Field

Road Running/Long Distance Running

Cross-Country Running

Ultra-Marathon Running

Mountain/Trail Running

Race Walking

Question Title

* 11. If you are a student athlete, what school do you attend:

Question Title

* 12. If you are student/athlete, What is your coach's name, phone number, email address? If you are a club athlete, what is your coach's name, phone number, email address?

School/Club:

Coach's Name:

Coach's Phone Number:

Coach's Email Address:

Question Title

* 13. If you are a professional athlete:

Note: If you are a professional athlete and have an agent, your agent must successfully complete and IAAF Exam and be registered with the VITFF and the IAAF.

What is your club/organization?

Who is your agent?

Question Title

* 14. Please provide contact information for:
Your agent:
Your club/organization:

Question Title

* 15. What is your main event/s...Best performance...Date/Location of performance

Event 1.

Event 2.

Event 3.

Event 4.

Event 5.

Question Title

* 16. If you are competing in the V.I. National Championships, in which events will you compete?

100m

200m

400m

800m

1500m

3000m

High Jump

Long Jump

Javelin

Discus

Shot Put

Question Title

* 17. Have you competed in an International Association of Athletics Federations championships for a country other than the U.S. Virgin Islands? If Yes, when, what event?

Question Title

* 18. Do you have medical insurance:

YES:

NO:

Question Title

* 19. Please provide the name of your insurance company
and type of coverage:

NOTE: By completing the registration, paying the annual registration fee, you
will establish good standing and insurance coverage (in addition to coverage you
may or may not have with your own insurace) when traveling to and from
specific IAAF competitions.

Question Title

* 20. Have you ever tested positive for WADA listed drugs or recreational/illegal drugs?

YES:

NO:

Question Title

* 21. If you answered yes to question #16, please provide details here:

Question Title

* 22. Have you ever been convicted of a crime?

YES:

NO:

Question Title

* 23. If you answered yes to question #18 please provide details here:

Question Title

* 24. To be eligible for a Virgin Islands Track & Field National Team, athletes, coaches, officials, volunteers are required to complete this form and meet applicable criteria.

The annual registration fee is $25.00 (ages 14 and under pay $10.00)

Please send your payment by mail to:
The Virgin Islands Track and Field Federation
P.O. Box 223094
Christiansted, St. Croix,
Virgin Islands 00822

To Pay online, logon to: http:vitrackandfield.org

Please email passport-size photograph to: isv@mf.iaaf.org
Please email color copy of your passport to: isv@mf.iaaf.org

By registering with the VITFF you 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...

Please share in a few words, your goals and objectives in track and field...

Question Title

* 25. Now that you have registered with the Virgin Islands Track and Field Federation, once it has been determined that you are eligible and qualified for a V.I. National Track and Field Team, you will be issued a V.I. National Team Uniform provided by Mizuno the sponsor for V.I. Track and Field. Please proved the requested information listed below.

The Mizuno uniforms are sized according to Japanese sizes, if you received a uniform for 2010, please provide sizes according to that uniform, otherwise, please be careful to provide USA sizes and make sure that you allow for accurate fitness:

1. Training Shoe Size

2. Competition shoe size

3. Competition top size (chest size)

4. Competition shorts size (waist size)

5. Tee-Shirt size (chest size)

4. Warm-up Jacket (chest size)

5. Warm-up pants size (waist size, leg length)

6. Tight size

7. Your height

8. Your weight

This is an official instrument of:
The Virgin Islands Track and Field Federation (ISV)
P.O. Box 223094 Christiansted, St. Croix,
Virgin Islands 00822
340-643-2557
isv@mf.iaaf.org
http://vitrackandfield.org

Question Title

* 1. Your Status for 2017

Question Title

* 2. Please provide accuarate personal information:

Question Title

* 3. What is your Sex?

Question Title

* 4. What is your age?

Question Title

* 5. What is your date of birth: [DD/MM/YYYY ie. 01/10/1988]

Question Title

* 6. Are you a United States Citzen:

Question Title

* 7. If you are NOT a United States Citizen, what is your country of citizenship:

Question Title

* 8. If you are not a United States Citizen and live in the United States, what is your official Status (you are required to provide a copy of your official documentation to the VITFF along with this registration?

Question Title

* 9. If you are a member of a club,what is the name of your club?What is the VITFF number of your Club: (If you are not a member of a club, enter N/A on each line...

Question Title

* 10. Please check the appropriate sport code (your focus as a track and field athlete):

Question Title

* 11. If you are a student athlete, what school do you attend:

Question Title

* 12. If you are student/athlete, What is your coach's name, phone number, email address? If you are a club athlete, what is your coach's name, phone number, email address?

Question Title

* 13. If you are a professional athlete:Note: If you are a professional athlete and have an agent, your agent must successfully complete and IAAF Exam and be registered with the VITFF and the IAAF.

Question Title

* 14. Please provide contact information for:Your agent:Your club/organization:

Question Title

* 15. What is your main event/s...Best performance...Date/Location of performance

Question Title

* 16. If you are competing in the V.I. National Championships, in which events will you compete?

Question Title

* 17. Have you competed in an International Association of Athletics Federations championships for a country other than the U.S. Virgin Islands? If Yes, when, what event?

Question Title

* 18. Do you have medical insurance:

Question Title

Question Title

* 20. Have you ever tested positive for WADA listed drugs or recreational/illegal drugs?

Question Title

* 21. If you answered yes to question #16, please provide details here:

Question Title

* 22. Have you ever been convicted of a crime?

Question Title

* 23. If you answered yes to question #18 please provide details here:

Question Title

Question Title

Question Title

* 26. VITFF ONLY...PAID 2016 REGISTRION FEE...REGISTRATION #

* 9. If you are a member of a club,what is the name of your club?
What is the VITFF number of your Club: (If you are not a member of a club, enter N/A on each line...

* 13. If you are a professional athlete:

Note: If you are a professional athlete and have an agent, your agent must successfully complete and IAAF Exam and be registered with the VITFF and the IAAF.

* 14. Please provide contact information for:
Your agent:
Your club/organization:

* 26. VITFF ONLY...
PAID 2016 REGISTRION FEE...
REGISTRATION #