top of page

Home
About
Interested in Competing?
2026 Summer Season Outline
Registration
Fundraisers
Contact
2025-26 Indoor for High School Athletes
Athlete Conduct
More

Use tab to navigate through the menu items.

Page Title

Health declaration

Please fill out the following form.

First name

Last name

Email*

Date of birth

Month

Day

Year

Have you been hospitalized in the last 12 months?

No

Yes

Are you suffering from a medical condition, illness or injury?

No

Yes

If you answered yes to any of the questions above, please supply additional information.

Initials*

I declare that the info I’ve provided is accurate and complete.

© 2022 Hero Sprint Club of Kentuckiana

bottom of page