REGISTRATION FORM FOR THE

PENINSULA CROSS COUNTRY CHALLENGE,

Sunday, October 29, 2006 -- Centennial Park, Central Saanich

hosted by the Peninsula Track and Field Club.

(Please fill out this form and bring it to registration to minimize time spent in registering your athletes)

CLUB or SCHOOL: _________________________________

Please Print Clearly

SURNAME

GIVEN NAME

M/F

YOB

BCA#

FEE

ENTRY FEES: BC Athletics or SCHOOL members; $4.00; non- members: $7.00