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PRINT THIS PAGE AND COMPLETE THE ENTRY FORM
ENTRY FORM CHANGES
- The individual entry blank now contains biographical information
normally required at registration.
Please fill out this section in its entirety.
- The relay entry blank now requires the same information as that
for individual entries.
- Use the same relay entry blank for Youth events as with high schools.
- Note addition of a new event, the Freshman Mile.
- Use one entry form per relay. You may make copies of the entry
form.
INDIVIDUAL EVENTS ENTRY FORM $30 Per Event - Form
may be copied
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 February 19, 2002.
LATE ENTRIES MUST be received by February 26, 2002 and require an
additional $25 per event late fee.
SUPER LATE ENTRIES - MUST be received by March 4, 2002 and require
an additional $35 per event late fee.
NO DAY OF MEET ENTRY!
** USE BLACK INK ** - PLEASE PRINT LEGIBLY
Mail entries to: NSSF, PO Box 16702, Chapel
Hill, NC 27516 NO FAXED ENTRIES!
Name_______________ ________________ Phone _____ ______ - __________e-mail____________________
Last First MI
Home Address___________________________ City _________________________
State _____Zip__________
High School ________________________________City
______________________________ State _________
USATF#________________Birthdate (mm/dd/yy)_______________Graduation
Year _______ Sex: M F (circle one)
Coach's Name _____________________Coach's Phone
( )______ - ________ e-mail_____________________
Enter the event number in which you wish to compete
(see second page of this entry blank for event numbers associated
with
your event). If qualifying performance was from an event not being
contested, please note the event (i.e., if you wish to
compete in the 400m and your qualifying time was from a 500m race,
enter event # - 5 or 6 - for 400m, the event name -
400m, and the 500m time with a notation that the time was for 500m
on the Qualifying Performance line).
Use Event Numbers on the Entry
Guidelines
Event # _______ Event_______________ Qualifying Performance _____________________
FAT/HAND
Entered
Date of Performance _______________ Meet ______________________________________
Event # _______ Event_______________ Qualifying
Performance _____________________ FAT/HAND
Entered
Date of Performance _______________ Meet ______________________________________
Event # _______ Event_______________ Qualifying
Performance _____________________ FAT/HAND
Entered
Date of Performance _______________ Meet ______________________________________
WAIVER: In consideration of my child's entry in
the Nike Indoor Classic; 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., Prince George's Sports and Learning
Complex, Nike, 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, names
and/or video for legitimate purposes.
Parent's Name _______________________________ Signature
_________________________
BIOGRAPHICAL INFORMATION (for the sake of the announcer)
HONORS WON IN TRACK AND FIELD:______________________________________________________
_____________________________________________________________________________________
HONORS WON IN OTHER SPORTS: ________________________________________________________
_____________________________________________________________________________________
OTHER SCHOOL-WIDE AND ACADEMIC HONORS:____________________________________________
_____________________________________________________________________________________
NOTEWORTHY RELATIVES IN SPORTS OR OTHER ACTIVITIES:
_________________________________
_____________________________________________________________________________________
Nike Indoor Classic 2002
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