RESISTRATION &
INFORMATION PACKET
27th Annual Greater
Track Meet
DATE:
���������� SATURDAY, APRIL 21, 2007
Time:�������������� Registration���������������������������������������� -���������� 7:30� -�
8:00 am
����������������������� Warm-up�������������������������������������������� -���������� 8:00� -�
9:00 am
����������������������� Opening Ceremony���������������������������� -���������� 9:00� -�
9:10 am
����������������������� FIRST EVENT���������������������������������� -���������� 9:20 am
Place:��������������
����������������������� 17000 Haynes St. Van
Nuys
����������������������� (corner
of Victory & Balboa Bblvd.)
Entry
Fee:������ $3.00 entry fee per person per
event. $12.00 per relay team
����������������������� Checks payable to : ROTARY CLUB OF
VAN NUYS
Registration:��� Please visit www.rotarytrackmeet.com.� Registration of your participating
Athletes through the Web Site
greatly expedites the
process.� Click on your school name,
and the password is the PASS.� If your school does not appear please contact
the
�undersigned by telephone or e-mail and it will be added.
Supervision:��� Each school must have a coach or other
designated responsible adult at the
meet with school approved medical forms for
each participant.
Awards:��������� Gold, Silver & Bronze medals for 1st,
2nd, & 3rd. place finishers in each heat..�
heats are seeded by times. �All participants receive a T-Shirt.
�����������
Concessions:�� Food/drink will be available at the meet at
stands operated by the
Boosters Club.
Dress:������������� Due
to CIF requirements, all participants must wear school uniforms.� Each
althlete is responsible for his/her own
equipment/valuables.� Tartan Track Spikes are required.
�Limited
quantities sold at the meet.
Schedule:������� A schedule of events will be provided at
check in.
Officials: ������� Official US Track and Field officials.
Deadlines: ����� All entries must be received by ASAP
Questions: ����� Call Leo O�Biecunas, (Event Coordinator)� 818 988 0180, Fax.
818 988 1217
Leo_ [email protected]
ROTARY CLUB OF VAN NUYS
MEDICAL AUTHORIZATION FORM
I
have in my possession a duly executed Medical Treatment Authorization for
each� participant
from the High School noted below.
I futher state that I am the designated responsible adult attending the Meet on April 21, 2007, and I will
remain present at this meet until all the participants for whom I am responsible have completed all
activities in connection with
this meet and have left the premises of
or have returned to parental custody.
Date:
By________________________________________
Signature
Print Name
School Name
Emergency Phone Number
Event Coodinator:� ��������������� Leo
O�Biecunas
�����������������������������������������������
����������������������������������� �����������
����������������������������������������������� 818
988 0180
����������������������������������������������� 818
988 1217 fax
����������������������������������������������� [email protected]
ROTARY CLUB OF VAN NUYS
Entry Form
Total
# of Athletes Participating:������������������� _______________________________
Total
# of Events Entered:����� ____________�� x�� $
3.00��� =� $�
_________________
Total
# of Relays Entered:����� ____________�� x�� $ 12.00� = �$�
_________________
(Entry
Relays by Team and not individual Students)
����������������������������������������������������������� Total
Entry Fees:�������� �� $� _________________
Make
check payable to:��������� Rotary Club of Van Nuys
Mail Entry Fees and Entry Forms :
Event Coodinator:� ��������������� Leo
O�Biecunas
�����������������������������������������������
�����������������������������������������������
����������������������������������������������� 818
988 0180
����������������������������������������������� 818
988 1217 fax
����������������������������������������������� [email protected]
ROTARY CLUB OF VAN NUYS
HOME PHONE: ___________________���� �����
WORK PHONE:__________________
ATHLETE�S NAME
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ROTARY CLUB OF VAN NUYS
HOME PHONE: ___________________���� �����
WORK PHONE:__________________
ATHLETE�S NAME����������������������������������������������
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