ENTRY
FORM:
Reipas Athletic Club
2002
Summer Festival Track & Field Meet
In consideration of the
acceptance of this entry, I do hereby forever waive and release the NE USAFT
and the sponsoring organization from all claims or cause of action which I at
any time acquire as a result of participation in the event for which entry
relates.
NAME______________________________________
AGE______ Male______ Female_____
NE
USATF No__________
Address_____________________________________
City_______________________
State_____
ZIP_______
Club
or
Affiliation______________________________________________________________________
EVENT(S)____________________________________________________________________________
Signature___________________________________________
USA
Track & Field – New England sanctioned MEET
Mail to:
Reipas Athletic Club
P.O. Box 30
Fitchburg, MA 01420-0030
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