Consent and Medical Treatment Authorization
I, the undersigned Applicant, do hereby give consent for emergency medical and/or dental
care, prescribed by a duly licensed Doctor of Medicine, or Doctor of Dentistry. This care may
be given under whatever conditions are necessary to preserve life, limb, or my wellbeing. I the
undersigned Applicant hereby hold Hi-Speed Track Club harmless from any liability for acts, or
omissions by Hi-Speed Track Club, taken pursuant to this Authorization. These authorizations
shall remain in effect during AAU and USATF membership year, unless revoked sooner in
writing, and delivered to Hi-Speed Track Club.
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Electronic Signature
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.