USATF Southwestern Association
Open and Masters Track and Field Championships
Saturday, June 6, 2009, Cowboy Stadium - Coppell, Texas
Registration form
Entry fees: Pre-registered by May 30, 2009 - First event $15.00, $5.00 for additional events.
Late registration: First event $20.00, $5.00 for additional events.
USATF cards are required and will be available on site.
Name___________________________________ DOB____________ Age on 6/6/09__________ Sex________
Address_________________________________ City_____________ State_________________ Zip____________
Phone___________________________________
I hereby agree to release and discharge Southwestern Association of USATF and First Baptist Academy any of their agents or representatives, the participants of said meet and anyone connected with the meet from liability resulting from any accident and/or injury that I may sustain while competing or participating in said track and field meet.
Athlete’s Signature___________________________________________ Date___________________________
Circle the events you want to enter and your best performance (if any) in the prior year:
| Discus | _________ |
Long Jump | _________ |
1500 | _________ |
4 x 100 Relay | _________ |
| Shot Put | _________ |
Triple Jump | _________ |
800 | _________ |
80/100/110HH | _________ |
| Javelin | _________ |
3000 RW | _________ |
400 | _________ |
300/400IH | _________ |
| Hammer | _________ |
1500 RW | _________ |
200 | _________ |
5000 | _________ |
| Wt. Throw | _________ |
High Jump | _________ |
100 | _________ |
Pole Vault | _________ |
Make checks payable to USATF Southwestern
Mail entry to:
DALLAS MASTERS T & F CLUB
1501 W. LAVENDER LANE
ARLINGTON, TEXAS 76013-5023