THE FOOT LOCKER NATIONAL OUTDOOR
TRACK AND FIELD CHAMPIONSHIPS
presented by adidas and The
National Scholastic Sports Foundation
Friday June 11 and Saturday June 12, 1999
North Carolina State University, Raleigh NC
Entry Forms
ENTRY REMINDERS: Fill out the entry
blank completely. Enclose ALL fees
(entry and late fees, if applicable).
Make checks payable to NSSF.
Fees are non-transferable and non-refundable. PRE-ENTRY DEADLINE: Postmarked by June 1, 1999.
Mail entries to: NSSF, PO Box 16702, Chapel Hill, NC 27516
FedEx or express mail late entries to: NSSF, 111 Mimosa Dr, Chapel Hill, NC
27814
LATE ENTRIES MUST be
received by June 8, 1999 and require an additional $15 per event late fee.
THERE
IS ABSOLUTELY NO DAY OF MEET ENTRY!
INDIVIDUAL EVENTS ENTRY
FORM $25 Per Event – Form may be copied
– PLEASE PRINT LEGIBLY
Name____________________________
_________________________ ____
Phone ( )______ -
__________
Last First MI
Home
Address__________________________________ City ______________________________
State _________
High School Name_______________________________ City
______________________________ State _________
USATF#____________Birthdate
(mm/dd/yy)_______________Graduation Year ________ Sex M F (circle one)
Coach’s Name
______________________________________________ Coach’s Phone ( )______ - __________
Enter the event
number in which you wish to compete (see ENTRY STANDARDS)
Event # _______ Event_____________________ Qualifying Performance
_____________________ FAT/HAND
(circle
one)
Entered
Date of Performance
_______________________ Meet ______________________________________
Event # _______ Event_____________________ Qualifying Performance
_____________________ FAT/HAND
(circle
one)
Entered
Date of Performance
_______________________ Meet ______________________________________
Event # _______ Event_____________________ Qualifying Performance
_____________________ FAT/HAND
(circle
one)
Entered
Date of Performance
_______________________ Meet ______________________________________
WAIVER: In consideration of my
child’s entry in the Foot
Locker National Outdoor Track and Field Championships, I automatically waive and release all claims for damages and injury I may
have against the competition and all its sponsorsincluding, but not confined to the National
Scholastic Sports Foundation, Inc., North Carolina State University, Foot Locker,
Inc., adidas America, Inc., and
any and all participating sponsors and/or representatives. I verify he/she is physically fit and has trained for this competition.
I further grant full permission to any and all of the foregoing and/or
their representatives to use any photographs and/or video for legitimate purposes.
RELAY ENTRY BLANK $80 per Relay
MAXIMUM 5 ATHLETES PER RELAY
– RELAY MEMBERS MUST ATTEND THE SAME HIGH SCHOOL
School___________________________________________
City ______________________________ State ______
Coach’s Name
__________________________________________________ Phone ( )_____ - ____________
Relay Entered : 4x200 ___
4x400 ___ 4x800
___ SMR ___ DMR ____ Male Female (circle one)
Qualifying Performance
_________________ FAT / HAND
Meet _____________________ Date ___________
RELAY MEMBERS (Last Name,
First Name) ***** NO ALL-STAR RELAYS
ARE PERMITTED *****
1________________________________USATF#________
2________________________________USATF#________
3________________________________USATF#________
4________________________________USATF#________
5________________________________USATF#________
