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Official Entry Form

Name:
Sex:
Age:
Address:
City/Town:
State:
Zip:
Phone (area code):
USATF No.:
Team:
Club:
High School:
College:

[ ] Unattached runners please check box here

Events: (Maximum of two individual events and one relay.)

        Event          Best Recent Mark             Date and Place
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2.

• Entry Fee: $7 per entry. Maximum team fee of $150 (Men's and Women's teams are separate). Checks payable to: Greater Boston Track Club. The entry fee MUST accompany your entry.
• Entry Deadline: Saturday February 4, 1995. ABSOLUTELY NO POST ENTRIES.
• Signature/Date: You or your coach must sign and date your entry. Failure to do so will result in immediate rejection of your entry. Entrants under 18 years of age also must have the signature of a parent or legal guardian.
• Waiver: In consideration of your accepting this entry, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the 1995 Greater Boston Track Club Invitational, the Friends of Harvard Track, USA Track and Field/New England, Harvard University, their agents, representatives, assignees, or sponsors for any and all injuries, damages, and/or claims which I might otherwise have arising out of said event. I attest and verify that I am physically fit and have sufficiently trained for this competition. As a coach, I sign this for the athletes entered by me.

  Signature of coach or individual:

  Signature of parent or legal guardian (if under 18):

  Date:

       Name       USATF No.    Event(s)     Best Recent Marks/Place and Time

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