2010 XC Camp July 27th thru July 31st

   Print and Mail Registration Form to:
   Greater Cleveland XC, 200 Mill Morr Rd. Painesville , Ohio 44077

    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 Cleveland XC             
    Entries received before July 18, 2010 - $50.00   
    Entries received after July 18, 2010- $75.00
              NOTE: NO REFUNDS