Registration Form 2015 USATF Maine Association Youth, Open

2015 USATF Maine Association Youth, Open & Masters Indoor Championships
Sanctioned by USA Track & Field Maine
Date: Sunday, February 22, 2015
New Balance Field House, University of Maine, Orono, ME
Start Time 11:00 a.m. - Meet Check-in begins at 8:30 a.m.
Entries close at 10:00 a.m. on meet day
Registration Form
Meet Registration:
 Pre-Entry $20.00 (1st 4 events, + $3 each additional event)
 Late Entry Fee: $25.00 (1st 4 events + $3 each additional event)
Make Checks Payable to: Maine USATF (US Dollars only)
Late Entry fee will be charged after 12:00 midnight on 02/20/2015
Day of meet registrations will be accepted
***ENTRY FEES must be paid in US Dollars ONLY***
Online meet registration will open soon: www.meusatf.org
2015 USATF Registration is required
USATF membership will be available at meet
(Youth -$15, Adult - $30)
Track Events, Beginning at 11:30 am
Women’s followed by Men’s (not on time schedule)
55 Meter High Hurdles, Final (O) W=33", M=42"
55 Meter Dash, Final (All)
Racewalk: 800 (Y-12&u),1500 (Y-13-18),3000 (O/M)
600 Meter Dash (All)
1600 Meter Run (All)
400 Meter (All)
4x200 Meter Club Relay (All)
3200 Meter Run (All)
1000 Meter Run (All)
200 Meter Dash (All)
4x400 Meter Club Relay (All)
Event Limitations:
Ages 12& U
3 Events
Ages 13-18
4 Events
Open/Masters
No Limitation
Awards:
 Medals to Top 3, Ribbons for places 4th
through 6th in each age division.
Age Divisions:
 All age divisions will be contested under
USATF-designated age divisions.
For more information or
to mail entry:
Christine Lipsky
15 Clements Rd, Newburgh, ME 04444
(Tel: 207-234-2455 after 5:30pm)
[email protected]
Field Events, Beginning at 11:00 am
Women's Weight Throw, followed by Men's
Weight Throw, followed by Women's Shot-put,
then Men’s Shot Put
Women's Pole Vault, followed by Men’s Pole Vault
Men's High Jump, followed by Women’s High
Jump
Long & Triple Jumps will be conducted as an Open
Pit.
Pits open at 11:00 am and will close at 2:45 pm
Shot Put / Weight Throws / LJ & TJ -4 attempts
PROPER INDOOR SHOTS WILL BE PROVIDED
FOR THE FOLLOWING AGE GROUPS: 14&Under
(All other age divisions must provide own approved
indoor implements)
Concessions: There will be a concession stand run by
“Snack and Field” from Old Town
Event/Performance
Event/Performance
Event/Performance
Event/Performance
_________/__________
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Name: _________________________________ Date of Birth: _______ Age: ____ Gender: M F
As of 2/23/2015
Street: ______________________City: ___________________ State:____ Zip: ______________
Tel: _______________ Club: ______________________ 2015 USATF Number: ______________
In consideration of USATF Maine acceptance of this entry, I, _______________________________intending to be legally bound,
hereby for myself, my heirs, executors, administrators, waive any and all rights, claims, or damages I may have against University of
Maine, the USATF Maine, their representatives, successors, and assigns for any and all injuries suffered by me at the meet, or as a
result of my travel to and from the competition. I attest and certify that I am physically fit and have sufficiently trained for the competition. I acknowledge that my entry fee is non-refundable, including if the event is canceled. By entering this competition, I grant USATF
Maine, Inc., a limited license to use my name, likeness, image, voice, video, athletic performance, biographical and other information,
in any format whatsoever, and to distribute, broadcast and exhibit these without charge, restriction or liability, but only for the purposes of advertising or promoting the sport of Athletics. In no event will such usage constitute an endorsement of any product or service
without my specific written consent.
Signature: __________________________________________________ Date: ____________