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, 13^th 2004)

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

(I am trying to get our meet electronically scored. Be Prompt with entries please)

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: