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June 14-15, 2002
North Carolina State University, Raleigh NC

adidas Outdoor Championships

Individual
Entry Form

$30 Per Event - Form may be copied - PLEASE PRINT LEGIBLY

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:______________________

______________________________________________________________________________


adidas Outdoor Championship home page

Charter Sponsors
DyeStat thanks these organizations for providing significant support to DyeStat
in the 2001-2002 school year, earning Charter Sponsor status for 5 years.

Nike


Great American Cross Country Festival Inc.

National Scholastic Sports Foundation
 
 

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