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Name________________________________________________________

Sex: M F                         Master (over 40)                 Age (on 1/24/99) ______

Address_______________________________________________________

City/Town ______________________________ State _____ Zip__________

Telephone (_____) _______________________ USATF No. _____________

Team: Club ____________________________________________________

          College __________________________________________________

          High School ____________________________________

          Unattached competitors please check box ____

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

     Event                       Best Recent Mark                    Date and Place

1.
2.

Team entries should be listed below.

Entry Fee: $10 per entry. Maximum team fee of $200 (Men's and Women's teams are separate.) Make checks payable to: Greater Boston Track Club. The entry fee MUST accompany your entry.

Entry Address: Mail this entry with your entry fee to GBTC Invitational, Greater Boston Track Club, PO Box 183, Back Bay Annex, Boston, MA 02117-0183.

Entry Deadline: Sunday, January 17, 1999. 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.

Assumption of Risk: 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 1999 Greater Boston Track Club Invitational, the Greater Boston Track Club, the Friends of Harvard Track, USA Track & 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 for the athletes entered by me.

______________________________________________ _______________
Coach or individual signature/                                                Date
Parent or legal guardian (if under 18)

Team Entries: Please use separate forms for Men and Women.

          NAME              USATF No.          Event(s)               Best Recent Marks/
                                                                                             Date and Place

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