ENTRY FORM

SCHOOLS NAME: ______________________________________

COACH(ES) NAME(S):__________________________________

AMOUNT YOU WILL BE PAYING:--------- Make checks payable to “” Elkins Middle School Cross-Country”.

Deadline for runner’s names, (Monday, September, 15^th 2003)

Teams you will be entering: Please circle those that apply.

Boys Varsity Boys Varsity B Girls Varsity Girls Var.B

Jr. Var. Boys Jr. Var. Girls

You may mail to my home address—-- 213 Hickory dr., Elkins, Wv 26241. Or, Fax to 636-9166 (Work)

Boys Varsity Girls Varsity

1._____________________________ 1.___________________________

2__________________________ 2.___________________________

3._________________________ 3. ___________________________

4._________________________ 4.___________________________

5._________________________ 5.___________________________

6._________________________ 6.___________________________

7._________________________ 7.___________________________

Alternates Alternates

1._________________________ 1._________________________

2.__________________________ 2.___________________________

3._________________________ 3.___________________________

4._________________________ 4.___________________________

Please put extra Varsity team and Jr. Varsity runners on another sheet of paper.

School address:

Schools fax number: