2010 XC Camp July 27th thru July 31st
Print
and Mail Registration Form to:
Greater
Name:________________________________________
Age:__________Sex:___________ Grade: ________ (As of Sept.
2010)
Address: _______________________ City:
_____________ Zip: ___________
Phone: ____________________________________
School:______________________ Coach_____________________
Please
fill out the following the best you can:
Best Times 800m________
Mile_________ 2Mile_______ 5K PR:________
Present Training Miles (average per day)____________Miles
Highest Mileage ever done in one week _____________Miles
Longest Run ever done ___________Miles
Camp
Group that best describes you for the week of camp.
____ Beginner (5-12
miles)
____ Lower Mileage (15-25 miles)
____ Intermediate Mileage (30-40
miles) ____Highest Mileage (40-55
miles)
Please list any running related injuries you may have had or are currently dealing with:
Shirt Size: S M L XL
______________________
_______________________
Signature
Parent Signature
Entry and release of all claims--In consideration of the
acceptance of my entry in the 2010 Greater Cleveland Cross Country Camp, I
undersigned intending to be legally bound for myself, my heirs, my executors,
and administrators, waive and release any and all claims for losses and damages
I may have against the Greater Cleveland Cross Country Camp, any sponsors,
officials and members of the said event and further agree that the above person
will be responsible for the loss of personal items from this event. I represent
that I am physically fit and have adequately trained to participate in this
event, and have full knowledge of the risks involved in this event.
Make checks payable to Greater
Entries received before July 18, 2010 - $50.00
Entries received after July 18, 2010- $75.00
NOTE: NO REFUNDS