ENTRY FORM
2000 CANADIAN MASTERS NATIONAL CHAMPIONSHIPS
MARCH 7, 9, 10, & 11, 2000
Please Print
| LAST NAME: _________________________ | FIRST NAME: ___________________________ |
| ADDRESS: _________________________________________________________________________ | |
| CITY: _____________________________ | POSTALCODE___________________________ |
| PROVINCE/STATE: ____________________ | TELEPHONE:____________________________ |
| FAX: _______________________________ | E-MAIL: ________________________________ |
| SEX: MALE_____ FEMALE______ | CLUB: __________________________________ |
| DATE OF BIRTH (yy/mm/dd): ____________ | AGE CATEGORY (i.e. 30-34): ______________ |
DATE EVENT COST ENTRY
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** Teams of 4, at least one female, one Juvenile, one Junior, one Senior and one Master will be formed on Thursday and Friday March. 10 & 11. $40/team, registered by 3:00 PM Friday March 10. Please return this entry with fees before Mar 1, 2000 to: Ms Jean Cook 2405 Alexander Rd North Bay, ON P1B 8A2
Late entries will be twice the cost
Release Clause: I hereby release the North Bay Nordic Ski Club, the Organizing Committee, the Canadian Master’s Cross Country Ski Association, Cross Country Ontario, Cross Country Canada, and any person or organization officially connected with the competitions from any liability for any injuries or damages whatsoever arising from any participation in or presence at this competition.
DATE:___________________
SIGNATURE______________________________________________________