Region II Class A-AA Supplemental Entry Form

(Make additional copies if needed)

 

School _____________________________              Coach _____________________________

                                               

Due by Monday, October 16th                                 Phone _____________________________

 

FAX to Josh Weekley 1-775-655-5335                     E-Mail_____________________________

 

Note:  Please list your anticipated Varsity Runners and your top two alternates.  These athletes will be assigned numbers prior to the meet.  You will be permitted to substitute any of the athletes on your WVSSAC form at the meet, if necessary.

 

           HS Boys                          HS Girls

                           (Circle One)

 

Name (Last, First)

Grade

Official Use Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Region II Class A-AA Supplemental Entry Form

(Make additional copies if needed)

 

School _____________________________              Coach _____________________________

                                               

Due by Monday, October 16th                                 Phone _____________________________

 

FAX to Josh Weekley 1-775-655-5335                     E-Mail_____________________________

 

Note:  Please list your anticipated Varsity Runners and your top two alternates.  These athletes will be assigned numbers prior to the meet.  You will be permitted to substitute any of the athletes on your WVSSAC form at the meet, if necessary.

 

 

        HS Boys                          HS Girls

                        (Circle One)  

 

Name (Last, First)

Grade

Official Use Only