2009 BC MASTERS CHAMPIONSHIPS

ENTRY FORM

NAME ____________________________________ Phone: ___________________

E-Mail: _____________________________Club:________________________________

Date of Birth:_______________________ Age at 23^rd May, 2009_______________

Gender M/F:_________BC Athletics Number (or equivalent):_______________________

	EVENT	Fee	Paid $	SEED TIME
1^st		$15, $20 after 13^th May
2^nd		$15, $20 after 13^th May
3^rd		$10, $15 after 13^th May
4^th		$10, $15 after 13^th May
5^th		$10, $15 after 13^th May
6^th		$10, $15 after 13^th May
7th		$10, $15 after 13^th May
8^th		$10, $15 after 13^th May
		$25
		$25
		$25
		$25
	TOTAL ENTRY FEES