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 May 28, 2002. LATE
ENTRIES MUST be received by June 4, 2002 and require an additional
$25 per event late fee. ***USE BLACK INK **SUPER LATE ENTRIES
MUST be received by June 10, 2002 and require an additional
$35 per event late fee. USATF cards are required. You may
purchase them through your local USATF office, online via www.usatf.org,
or at meet registration. NO DAY OF MEET ENTRY!
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)_____________Grad
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 Entry Guidelines 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 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
USA, 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 _____________________________
2002 ADIDAS OUTDOOR CHAMPIONSHIP
BIOGRAPHICAL INFORMATION
(for the sake of the announcer)
NAME __________________________________________________________________
(Last, first, middle initial)
HOME TOWN ________________________________________
GRAD YEAR _________
HIGH SCHOOL _________________________________ HS
CITY/ST ___________________________
HONORS WON IN TRACK AND FIELD:____________________________________________
______________________________________________________________________________
HONORS WON IN OTHER SPORTS:_______________________________________________
______________________________________________________________________________
OTHER SCHOOL-WIDE AND ACADEMIC HONORS:_________________________________
______________________________________________________________________________
NOTEWORTHY RELATIVES IN SPORTS OR OTHER ACTIVITIES:______________________
______________________________________________________________________________
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