ST. LOUIS BLAZERS TRACK CLUB 2014 CROSS COUNTRY INVITATIONAL Sunday, November 2, 2014 LOCATION: CASTLEWOOD STATE PARK - Ballwin, MO SCHEDULE: *LATE Registration Coaches Meeting Course Walk First Race Begins 11:00 – 11:30 a.m. 11:20 a.m. 11:30 a.m. 12:30 p.m. ENTRY FEES: $10.00 per athlete. Make check payable to: St. Louis Blazers Track Club. Register via email before and pay on race day. *CLUB LATE FEE OF $2.00 PER ATHLETE WILL BE CHARGED IF ENTRY RECEIVED AFTER FRIDAY, NOVEMBER 1. Fees will be paid on race day for all entries. NO REFUNDS. Email entries to: Sara Bohall, [email protected] AGE DETERMINATION: Age of Individual on December 31st of 2014 DIVISION RACES: 8 & under (born 2006+) 9-10 (born 2005-2004) 11-12 (born 2003-2002) 13-14 (born 2001-2000) 15-16 (born 1999-1998) 17-18 (born 1997-1996) Girls/Boys Girls/Boys Girls/Boys Girls/Boys Girls/Boys Girls/Boys 2 km (1.24 miles) 3 km (1.86 miles) 3 km (1.86 miles) 4 km (2.48 miles) 5 km (3.1 miles) 5 km (3.1 miles) AWARDS: Medals for 1st - 10th places for each age group and gender. MEET DIRECTIONS: CASTLEWOOD STATE PARK 1401 Kiefer Creek Road Ballwin, MO 63021 (636) 227-4433 East on Kiefer Creek Road, off New Ballwin Road from Hwy. 100 in St. Louis County From Hwy 141: Big Bend south, to Reis Road turn left (east), to Kiefer Creek Rd. turn left into park. Follow the main park road cross over a little bridge; go to the first large pavilion on the left. HTTP://MOSTATEPARKS.COM/PARK/CASTLEWOOD-STATE-PARK ST. LOUIS BLAZERS TRACK CLUB INVITATIONAL CROSS COUNTRY MEET Sanctioned by USA Track and Field OFFICIAL INDIVIDUAL ENTRY FORM/WAVIER BOY____ GIRL____ AGE DIVISION __________________________ USATF NUMBER _________________________ NAME (Print)_______________________________________________ BIRTH DATE (M/D/Y) ____________________ STREET ADDRESS __________________________________CITY & ZIP____________________________________ MY CLUBNAME IS ________________________________________________________________________________ AGREEMENT TO PARTICIPATE: I acknowledge that there are certain risks inherent in athletics competition, and I freely accept those risks. In consideration of my being accepted, I, intending to be legally bound, for myself, my heirs, executors and administrators, waive, release and forever discharge any and all rights and claims for damages which I may have or which may hereafter occur to me against USA Track & Field, Ozark Association, St. Louis Blazers Track Club, Castlewood State Park, or their officers, agents, successors, and/or assigns for any and all damages which may be sustained or suffered by me in connection with my association with or entry in or arising out of my traveling to, participating in and returning from said competition. I further attest that I am physically fit and have trained for competition in the event(s) I have entered. Signature – Athlete_________________________________________________________Date ____________________ Signature – Parent and /or Legal Guardian ______________________________________________________________