BURLINGTON COUNTY
DIVISIONAL CHAMPIONSHIPS
at NORTHERN BURLINGTON HIGH SCHOOL
MAY 9, 2009

STARTING TIME: 9:00 A.M.

SCHOOL: _______________________________ .                                CIRCLE:     BOYS         GIRLS

COACH                                                                   .

HOME TELEPHONE #                                         .

WORK #                                                                 .

ENTRY FEE: $200.00 - 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  FORM  BY MAY 1, 2009 TO:       

  Colleen Mullins-Teifert, Director of Athletics
   BCIT Medford Campus
   Hawkins Road
   Medford, NJ

Fax 609-654-0200

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                                                                                              POLE VAULT                                                                         .

TRIPLE JUMP                                                                    

TOTAL ENTRIES                                               X $18.00                                                   .

RELAY                                                                   X $24.00                                                     .

GRAND TOTAL                                                                    =                                                      .
 
 
Rosters must be sent to ecolona@comcast.net in hytek format

MAKE CHECKS PAYABLE TO: BURLINGTON COUNTY SCHOLASTIC LEAGUE and Forward Entry Fee to: 

 Colleen Mullins-Teifert, Athletic Director

 BCIT Medford Campus                               

 Hawkins Road

 Medford, NJ     08