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2000 USA Winter National Cross Country Championships

February 11-13, 2000 at Bryan Park, Greensboro NC

Entry Form - Juniors and Seniors

Entry Procedure for USA Winter National
Cross Country Championships
(Junior and Senior Races Only)

1. You must have a current 2000 USATF membership number.

2.You must be a USA CITIZEN & otherwise eligible to represent USA In International competition

3. Age requirements:
Juniors:  Born between January 1, 1981 and February 13, 1986 .
You can not turn 20 in 2000. Bring birth Certificate

Seniors:  Men must be born on or before February 13, 1984 . Women born on or before February 13, 1986

4.IAAF World Cross Championships, March 18-19, Villamouca, Portugal . Top 6 Places in the following races will qualify:  Junior women 6k,Junior men 8k, Senior women 4k, Senior women 8k, Senior men 4k, Senior men 12k

5.Those planning to qualifying for the World Championships should have:

A. Current passport valid through April, 2000

B. Be able to travel from March 13th to March 20th, 2000

C. Fill out all  REQUIRED Travel information at Nationals with USATF.

6.Drug Testing will be conducted by USOC

7.Prize Money: A current Direct Payment License issued from USATF is necessary to receive prize money in excess of $500.  College athletes and high school athletes are not eligible for prize money.  Prize money will be announced.

 Entry Deadline Feb. 4, 2000

Entry Fees: $20.00 per athlete received before Feb. 4, 2000

Late Fee: $40.00 per athlete received Feb. 5- Feb. 11

no race day entries

Send to: Greensboro Pacesetters Track Club, Meet Director Charlie Brown , 2304 Gracewood Dr., Greensboro, NC 27408-2509, Ph. 336-282-8052

First Name ___________________________________

Last Name____________________________________

Age on Race Day__________

USATF Number ________________ If you do not have one, complete USATF application and send in with check to NCUSATF for $15.00

Address ____________________City ___________

State ______Zip ___________

Phone _______________ Email _____________________

Sex: _____Male ______Female

Race entered (Circle One):

Women

Men

Best 5k Time______________

Best 10k Time _____________

Date of Birth ______________

Team____________________

T-shirt size: ___ Med ___Large ___X-Large (to all preregistered) 

Will you use Free XC Shuttle?  ______Yes   ______No

Are you a USA Citizen? __Yes  __No  

Do you have Dual Citizenship? __Yes ___N0

If no, please list your other nation of citizenship._________________

WAIVER BELOW MUST BE SIGNED. DO NOT SEND INCOMPLETE FORMS. PLEASE PRINT CLEARLY.

Team Entry Forms: Call for official Team entry forms & deadlines.

Waiver (please read and sign): I know that running, regardless of the distance, includes an element of risk. I should not enter and participate in the 200 USA  Cross Country National Championships (herein after called this event) unless I am medically able and properly trained. I agree to abide by any decision of an event official relative to my ability to compete in this event safely and I further agree that the event officials may authorize necessary emergency treatment for me. I also assume any and all risks associated with this event including, but not limited to, illness, traveling to and from this event, falls, contact with spectators and other participants, the effects of weather (including temperature and humidity extremes) and the surface of the event's course, all such risks being understood by me.

Having read this waiver and knowing the facts, and in consideration of my entry, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue, and waive, release, and discharge USA Track & Field, Greensboro Pacesetters Track Club, Bryan Park Golf Course, City of Greensboro, event officials, volunteers, and any and all sponsors, suppliers, agents, independent contractors, employees and any other personnel in any way assisting or connected with this event, even though the liability may arise out of negligence or carelessness . I also understand and agree that any sponsor may subsequently use, for publicity purposes, my name and pictures taken of me while participating in this event without liability or compensation to me. I also understand that as a result of my participation in this event that I may be drug tested by USOC and, if found positive, that I will be disqualified from this event and suffer other consequences in accordance with USATF and IAAF rules.

Signature: _________________________________

Print Name:

Date _____________

(must be signed by parent or guardian if under 18)