REGISTRATION FORM FOR THE

GEORGE DEAN MEMORIAL TRACK MEET,

April 3 and 4, 2004,  hosted by the Peninsula Track and Field Club.

CLUB: ______________________________________________

SURNAME

GIVEN NAME

M/F

YOB

BCA#

FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENTRY FEES: 1 DAY - $8.00 ; 2 DAYS -  $11.00; UNLIMITED EVENTS PER DAY;  School athletes of non-member schools add $3.00.