June 15-16, 2001 at North Carolina State University, Raleigh NC

adidas Outdoor Track and Field Championships

Entry Form

ELIGIBILITY
Full-time students in grades 9-12 who are eligible for their high school team and/or any high school athlete born SEPTEMBER 1, 1981 or later, and who have met the entry standards, are eligible to compete. (NOTE: Exceptions may be made for athletes in lower grades.)
ENTRY

INFORMATION

Individual Events: $27 per event
Relays: $90 per relay (All-star relays are unacceptable).
PRE-ENTRY: postmarked by Monday, June 4, 2001 and may be in the form of check or money order.
LATE ENTRY: RECEIVED by Tuesday, June 12, 2001 and accompanied by $20.00 per event late fee - MUST be in the form of a U.S. money order or bank check. (except for those with state meets the weekend of June 8-9, 2001, in which case the late fee is waived).
Entries MUST be accompanied by fees PAID-IN-FULL, INCLUDING LATE FEES. Make check or money orders payable to "NSSF." Your canceled check is your receipt. NO FAX ENTRIES ACCEPTED.

Mail to: NSSF - PO Box 16702 - Chapel Hill, NC 27516

FEDEX (OR EXPRESS MAIL) LATE ENTRIES TO:
NSSF - 111 Mimosa Drive - Chapel Hill, NC 27514

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 4, 2001.
LATE ENTRIES MUST be received by June 12, 2001 and require an additional $20 per event late fee.
USATF cards are required. you may purchase them through your local USATF office, or at meet registration.
NO DAY OF MEET ENTRY!

INDIVIDUAL EVENTS ENTRY FORM

$27 Per Event - Form may be copied - PLEASE PRINT LEGIBLY

Name_____________________ ____________________ e-mail__________________Ph ( )_____ - __________
(Last, First )

Home Address_____________________________ City _______________________ State ____ Zip ________

High School ______________________________City ______________________________ State _________

USATF#_______________Birthdate (mm/dd/yy)_______________Graduation Year ________ Sex: M F (circle)
(USATF card available for purchase at meet registration)

Coach's Name __________________________e-mail ______________ Coach's Phone ( )______ - __________
Enter the event number in which you wish to compete (see Entry Standards for event numbers).

Event # _______ Event_____________________ Qualifying Performance _____________________ FAT/HAND

Date of Performance _______________________ Meet ______________________________________

Event # _______ Event_____________________ Qualifying Performance _____________________ FAT/HAND

Date of Performance _______________________ Meet ______________________________________

Event # _______ Event_____________________ Qualifying Performance _____________________ FAT/HAND

Date of Performance _______________________ Meet ______________________________________

WAIVER: In consideration of my child's entry in the adidas 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 sponsors including, but not confined to the National Scholastic Sports Foundation, Inc., North Carolina State University, adidas America, 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.

Parent's Name __________________________________ Signature _____________________________________

RELAY ENTRY FORM

$90 per Relay
MAXIMUM 5 ATHLETES PER RELAY -
RELAY MEMBERS MUST ATTEND THE SAME HIGH SCHOOL

School_____________________________________ City ______________________________ State ______

Coach's Name __________________________________________________ Phone ( )_____ - ____________

Relay Entered (circle one): 4x100 4x200 4x400 4x800 4xMile 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#________ 4 ____________________________USATF#_________

2____________________________USATF#_______ 5 ____________________________USATF#_________

3________________________________USATF#________

(USATF card available for purchase at meet registration)

 

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