Cross County All-Star Packet Name(Required) First Last Email(Required) High School(Required) FACA Cross Country All-Star ClassicYOU HAVE 3 DAYS TO ACCEPT OR DECLINE INVITATION Congratulations on having one of your athletes selected to participate in the 2024 FACA Cross Country All-Star Classic. The FACA Cross Country All-Star Classic is set for November 23, 2024 at Holloway Park in Lakeland. We will have a Cross Country Dinner on Friday evening at the Lake Gibson High School Cafeteria. Download the schedule below for specifics. Please make sure your athlete receives this Invitation. Download Schedule HereAcceptance(Required) Yes, I accept the invitation to participate in the FACA Cross Country All-Star Classic on Saturday, November 23, 2024 at Holloway Park in Lakeland. I understand I have to provide my own hotel room for November 22. A room Block is set up in Lakeland Comfort Inn & Suites – (3520 N. Hwy 98) with a group rate. No, I will not be able to participate in the FACA Cross Country All-Star Classic. Additional Participant InformationGender(Required)Select GenderMaleFemaleGrade(Required)Select Grade9101112Date of Birth(Required) MM slash DD slash YYYY Name of Parent/Guardian(Required) First Last Parent/Guardian Email Address(Required) Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Coach's Name(Required) First Last Coach's Email(Required) Coach's Cell Phone(Required)Hotel ArrangementsThe FACA has a room block set-up for November 22nd at the Comfort Inn & Suites in 3520 N. Hwy 98, Lakeland. Group Name is Cross Country Parents. It will be the responsibility of the parent or coach to arrange for lodging/food of the Athlete the day before the event. Rooms are $139 with a cutoff date of 11/20. Comfort Inn & Suites, 3520 N. Hwy 98., Lakeland (863 -859-0100) - $139 Booking LinkParent ConsentI hereby approve my child to participate in the FACA All-Star Classic, practice and related activities. My child has no medical or emotional problems which may affect his/her ability to safely participate in your program. Regarding routine first aid, major emergencies or medical trauma, I understand that the All-Star Team Doctors and staff would provide whatever care or treatment they reasonably could and would refer to the appropriate physician the further treatment of such. I hereby authorize consent to any X-ray, examination, anesthetic, medical or surgical diagnosis or treatment or hospital care, which is deemed needed and rendered under the guidance or special supervision of the physician. Being fully aware of the hazards and possible consequences involved in treatment of the above described routine and major emergency conditions, I being legally competent to give consent, hereby consent to such treatment and agree to hold the Florida Athletic Coaches Association, the Organizers, Sponsors and Supervisors and/or all of them, free and harmless from any claims, whatever which may result from such treatment. All medical expenses incurred due to my child's participation in the FACA All-Star Classic, practice and activities are understood to be the responsibility of the participants Insurance Carrier with the All-Star Insurance Carrier being an Excess policy (primary if participant has no coverage) and I hereby give authorization to provide such necessary insurance information to be used should my child incur an injury or illness that requires medical attention. Acknowledgement(Required) I do hereby declare and represent that in making, executing and tendering this Statement of Voluntary Consent, I understand and acknowledge the circumstances involved in my child's participation in the described activities, and I have read this statement, understood its contents, and executed it of my free will and choice, and do so to benefit the best interest of my child. SponsorshipHow would you like to pay?(Required) Online Mail/Bring check to event Name of Sponsor(Required) First Last Sponsorship Cost(Required) Price: Processing Fee(Required) Price: $30.00 SignaturesDate(Required) All-Star Signature(Required)Parent/Guardian Signature(Required)PaymentTotal Credit Card(Required)Card Details Cardholder Name