2004
CROSS-COUNTRY
CHAMPIONSHIPS


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PRE-REGISTRATION PACKET PICK-UP: |
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REGISTRATION:
Fee - 4$ |
Received by the
YMCA Team |
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LATE REGISTRATION:
Fee - 6$ |
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Race Schedule
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GIRLS |
RACE |
BOYS |
RACE |
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10 AND UNDER
(BANTAM) |
3 K |
10 AND UNDER
(BANTAM) |
3 K |
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11 - 12 (MIDGET) |
3 K |
11 - 12 (MIDGET) |
3 K |
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13 - 14 (YOUTH) |
4 K |
13 - 14 (YOUTH) |
4 K |
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15 - 16
(INTERMEDIATE) |
5 K |
15 - 16
(INTERMEDIATE) |
5 K |
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17
- 18 (YOUNG WOMEN) |
5
K |
17
- 18 (YOUNG MEN) |
5
K |
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Open Women |
5 K |
Open Men |
5 K |
*Age as of December 31, 2004
The girls Bantam
will start at 10:00 AM followed by the boys Bantam. All other races will follow in order. Races may be combined. Please check-in at the starting line prior to
your race. Awards will be available
after each race. Please call Tim Severa
at 208-344-5501 if you have any questions. Email questions to
tim.severa@ymcatvidaho.org.
Qualify to go to the National
Junior Olympic Cross-Country Championships to be held in Schaumburg, Illinois
on Saturday December 11thth.
The Top 10 individuals and
the 1st place team in each age group will qualify to go directly to the
National Meet to be held in Schaumburg, Illinois to be held on Saturday
December 11th. You must sign up for the
National meet following the Association Meet in Boise, if you qualify. A table will be set up to accept these
entries. If you are interested in
joining YMCA Team Idaho Track Club, please call Tim Severa at (208) 344-5501
A.S.A.P. or go to our website team-idaho.org or
email Tim at tim.severa@ymcatvidaho.org.
« HOST: YMCA Team Idaho
ENTRY
FORM REQUIREMENTS: Complete the form below. A
copy of your BIRTH CERTIFICATE
should be attached. REGISTRATION FEE
is $4 per person. Make checks out to the
YMCA Team Idaho.
DATE/LOCATION:
Camels Back Park
Boise, Idaho
ENTRY DEADLINE:
All Entries Must Be Received By
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Last Name: First
Name: Mi:
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Address:
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City: State: Zip:
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Home Phone: Work
Phone:
Sex M: o F: o Birth Date: Month: oo Day: ooYear: oooo
AGE GROUP: ü
o Bantam 10 & under (1994 & up) o Inter 15-16 (1988-89)
o Midget 11-12 (1992-93) o Young M&W 17-18* (1986-87)
o Youth 13-14 (1990-91) o Men & Women Open (1985 & under)
The
year you were born in determines your age group. The age you will be on December 31,
2004.
USA Track & Field
Membership #
oooooooooo
Note: You must have a USA Track & Field Number to compete in Schaumburg,
Illinois on Dec 11th. The
Numbers can be obtained at the Race site for $15.00. 2005 numbers will be sold after November 1st,
2004.
In consideration of this
entry, for myself, my heirs, executors and administrators, I waive any and all
rights and claims I may have against the sponsor(s) for any and all damages
which may be sustained and suffered by me in connection with my association
with or entry in the above Association Championships or which may arise out of
traveling to or participating in, and return from said Association
Championships at Boise, Idaho. Also,
none of the sponsors are responsible for the loss of personal items, nor any
form of aggravation in connection with said event. I/we grant permission to the Directors,
Assistant, or assigned Chaperones of the USA Track & Field Association
Championships, to act as guardian/spokesman in granting permission for
emergency hospitalization treatment (including anesthesia), if necessary, for
my son or daughter while en route to or from or at the sites of the above
Championships. I understand that should
a health emergency arise, I will be notified, but that if I cannot be reached
by telephone, such medical treatment as deemed necessary by competent medical personnel
is authorized.
SIGNATURE SIGNATURE
(ATHLETE) (PARENT/GUARDIAN)
*Late
Registration:
Can be done Nov. 13th at the race site from 9:00am
till 10:00am for $6.00
Send Registration to:
YMCA Team Idaho
1050 W State St.
Boise, Idaho 83702
