Needham Track Club

2009 Needham Track Club CIT Application

Instructions: Regular CITs must have completed the 9th grade. Pre-school helpers may be younger. Completing an application does not guarantee a position as a CIT since we receive many applications. Assisting in pre-season events such as the Great Bear Run and the Indoor Meet will enhance your application. Send the application to: John Hrones, 53 Coulton Park, Needham MA 02492 Send questions to needhamtrackclub@aol.com or call Mr. Hrones at 781-449-4954

Name:_____________________________________________Age: _________Birth Date: _______________

Street Address:___________________________________________Phone (home)_____________________

Town____________________________________Zip____________Email:____________________________

Phone (cell) if any______________________________Previous # yrs as CIT__________________________

Description of previous experience with Track & Field and/or working with children:

Indicate availability for track nights/events (Circle yes dates) (X out no dates) (Leave uncertain nites blank)

Great Bear Run: Sunday, May 16 (8 am - 5 pm) YES NO UNCERTAIN

Needham Youth Classic: Friday, July 16 (2 pm - 8 pm) YES NO UNCERTAIN

Needham Youth Classic: Saturday, July 17 (8 am - 5 pm) YES NO UNCERTAIN

CIT Assignments - Circle your choices below

Work with Pre-Schoolers (Blue & Green - ages 3-5) PREFER OK WITH ME NOT FOR ME

Work with Elementary Program (Ages 5+ - 11) PREFER OK WITH ME NOT FOR ME

Work with Middle Schoolers (Age 11 - 14) PREFER OK WITH ME NOT FOR ME

Work at the Information Table regularly instead of above PREFER OK WITH ME NOT FOR ME

Extra Off-Field Assignment: Sorting & maintaining ribbons & awards YES NO TELL ME MORE

Are you planning to take Community Classroom hours for the first 30 hours worked? YES NO
(You must submit paperwork for this at the start of the season)

INJURY WAIVER: I absolve the Town of Needham and the Needham Track Club and all coaches, officials, and other Club members from liability and will not hold them responsible for injury that I may incur during any activities associated with the Summer Track Program, Great Bear Run, All-Star Meet, Youth Classic, other events or off field activities in support of the Needham Track Club. I understand that medical insurance is not provided.

SIGNED_______________________________________________________DATE______________
(Applicant)

SIGNED_______________________________________________________DATE______________
(Parent or Legal Guardian if under age 18)