P.O. Box DV 397 - Devonshire - Bermuda DV BX
Registered Bermuda Charity Affiliated to the International Association of Athletics Federations
Affiliated to Central American and Caribbean Athletic Confederation
Affiliated to the Bermuda Olympic Association
441-296-0951

Prior to completing the registration form, please read the Registration Information.

The first portion of the form will be completed by BTFA. Please skip to the "Athlete Information" section and answer all questions. Once the registration form has been completed, please print the form and sign it before sending it to BTFA.
For Office use only
Date of Registration:
Registration No:

Adults: $50
Temporary: $20
ANNUAL: before Dec. 31
Adults $50

RENEWAL: after Dec. 31
Adults $60
Jr. 17-19 yrs: $30 Event:
17-19 yrs. $30 12-16 yrs. $10
Jr. 12-16 yrs: $10 Date:  
2 year registration fee: $90
3 year registration fee: $135
Athlete Information:
  
Surname:
 First Name:
Address:

Telephone:

Home:
Fax:
  Work: Email:
Cell:  
   
Name of next of kin: Next of kin contact no.:
  Next of kin cell no.:
     
Date of Birth: 19 Age: Sex: M F

Fee Enclosed:
*No fee required for children under twelve (12) years.


Waiver must be signed for registration to be accepted
Intending to be legally bound and in consideration of your acceptance of this registration I hereby release the Bermuda Track and Field Association, it's Officers, Race Officials, Member Clubs, and all Race Sponsors from any claims arising from injury or damage regardless of how sustained during events sanctioned by the Bermuda Track and Field Association.

Signature of Athlete: ____________________________ Date: ________________________________________
Print Name (Parent): ____________________________ Signature: ____________________________________

(Parent or Guardian must sign if athlete is under the age of 21 years)
_____________________________________________________________________________________________________

Registration information:

1. Athletes must be registered prior to competing in any BTFA sanctioned event.

2. Registration is for the period January 1 to December 31 and is valid for any sanctioned event held within this period.

3. Photo I.D. Cards will be issued to all registered athletes.

4. Temporary registrations are for a specific event. They are not transferable to annual fees.

5. Registration forms, plus fee should be delivered to the BTFA Office, Suite 310, 34 Church St., Hamilton or placed in the drop boxes provided at International Sports Shop, Sportseller and Sports 'R' Us.

6. Please notify the BTFA of any changes in address.