SCHOOL:    CIRCLE:         BOYS             GIRLS

COACH:
HOME TELEPHONE #                                               WORK #                                               .
 

ENTRY FEE:   $250.00 - ONE BOY’S OR ONE GIRLS TEAM
                        $380.00 - BOTH A BOYS AND A GIRLS TEAM FROM THAT SCHOOL
                        $  18.00 - PER INDIVIDUAL PER EVENT (IF NOT PAYING TEAM FEE)
                        $  24.00 - FOR RELAY TEAM (IF NOT PAYING TEAM FEE)

FORWARD ENTRY FEE AND FORM (IF NECESSARY )    BY      MAY 8, 2009
TO:

  ED COLONA
  118 JAMES STREET
  BURLINGTON, NJ  08016

INDICATE UP TO THREE (3) ENTRIES PER EVENT PER SCHOOL.  PLEASE USE A SEPARATE SHEET FOR BOYS AND GIRLS.
 
 
 

100/110 M HIGH HURDLES	400 M INTER/LOW HURDLES
100 METER DASH	200 METER DASH
400 METER DASH	800 METER RUN
1600 METER RUN	3200 METER RUN
HIGH JUMP	LONG JUMP
SHOT PUT	DISCUS
JAVELIN TRIPLE JUMP	POLE VAULT

                                                   .

 TOTAL ENTRIES    X   $18.00  =                               .

 RELAY                     X  $24.00  =                                .

 GRAND TOTAL                                                          .
 

MAKE CHECKS PAYABLE TO:   BURLINGTON COUNTY TRACK COACHES ASSOCIATION