Central Coast Section    
www.cifccs.org
OFFICIAL ENTRY FORM:   CROSS COUNTRY
Check here if you are NOT entering a Team______.  Send in form regardless - Do Not submit athletes names.
Please submit one form for girls and another for boys.
This form must be received by the CCS Office by NOVEMBER 1st!

Circle one:

DIVISION: 1   2   3   4  5

Circle one:  BOYS

 GIRLS
PRINT SCHOOL NAME HERE:                                     City:
PRINT YOUR LEAGUE CODE HERE:
League Codes: BVAL-CPSAL-GPSL-MTAL-MBL-PAL-PSAL-SCCAL-SCVAL-WCAL

Please TYPE or PRINT in CAPS ONLY the information below:

FIRST NAME LAST NAME FR-SO-JR-SR
1. _____________________________ _________________________________ _______________
2. _____________________________ _________________________________ _______________
3. _____________________________ _________________________________ _______________
4. _____________________________ _________________________________ _______________
5. _____________________________ _________________________________ _______________
6. _____________________________ _________________________________ _______________
7. _____________________________ _________________________________ _______________

Substitutions can be made on race day -- On the gummed label, carefully cross off the name of the athlete who is not running, and PRINT IN THE NAME OF THE NEW RUNNER,
First Name, Last Name and Year in School.

"By my signature below, I certify that I have read Section 9A., B., and C of the Cross Country
section of the CCS Tournament Guide, and I further certify that all participants from my school
competing in this meet are eligible athletes."

 

Print Coach's Name_________________________ Signature________________________

Home Phone #:  ( ___)_______________________ Work Phone #: (___)_______________

E-Mail  ________________@________________  Pager Phone # :(___)_______________

This form MUST BE RECEIVED BY THE CCS OFFICE BY NOVEMBER 1st
CCS, 1691 Old Bayshore Highway, Suite 200, San Jose, CA 95112
Phone:  408-441-9505    Fax 408-441-9509

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