BC SUMMER GAMES

ZONE TRIALS ATHLETE REGISTRATION FORM

NAME _____________________________________ M/F BCA # ________________

ADDRESS ________________________________________ CITY _______________

POSTAL CODE ____________________________ PHONE NUMBER __________________

E-MAIL ADDRESS __________________________________________________________

BIRTHDATE _____/_____/_____ BIRTH CERTIFICATE NUMBER ___________________

DAY MONTH YEAR

Please ü the events in which you would like to participate. The cost is $6.00 per event and $12.00 per pentathlon. An additional charge of $3.00 must be paid by athletes who are not competitive or school members of BC Athletics in order to cover day of event registration. You may participate in as many events as you wish but will be limited to 3 individual events plus 1 relay in the Games.

80 m/1200 m hurdles _____ High Jump _____

300 m hurdles _____ Long Jump _____

100 metres _____ Triple Jump _____

200 metres _____ Pole Vault _____

400 metres _____ Discus _____

800 metres _____ Hammer _____

1500 metres _____ Javelin _____

3000 metres _____ Shot Put _____

1500 m Racewalk _____

1500 m Steeplechase _____ Pentathlon _____

Note: Relay team members will be selected from the zone team after the selections.

_____ Events @ $6.00 __________

_____ Pentathlon @ $12.00 __________

Day of Event Membership @ $3.00 __________

TOTAL __________

ADDITIONAL CHARGES IF SELECTED TO THE GAMES TEAM

1. $50.00 cheque made out to BC Athletics at time of selection __________
2. $15.00 cheque made out to BC Athletics at time of selection __________
3. $10.00 cheque /registration forms for BC Athletics if not a member. __________
4. One cheque or credit card may be used for any or all of the above charges.

T-SHIRT INFORMATION

The shirts are short sleeved in each zone colour. You must compete in the zone shirt at all times and may not alter the shirt in any way. The Abbotsford 2004 Games logo will appear on the front.

Shirt sizes are: SMALL MEDIUM LARGE EXTRA LARGE DOUBLE XL