2012 USATF-Maine Association Open and Masters Decathlon & Heptathlon Championships

Sanctioned by USA Track and Field Maine Date: Saturday June 30th & Sunday, July 1st, 2012 Scarborough High School, Scarborough, Me. Start Time 9:00 a.m. - Meet Check-in begins at 8:00 a.m. Entries close at 9:00 a.m. on meet day

Meet is open to all Open and Masters Division Athletes and is being run in conjunction with the 18 & Under multi-events

Registration Form
Late Entry fee will be charged after 12:00 midnight on 06/29/2012 Day of meet registrations will be accepted at the meet

Meet Registration Fee: Pre-Entry $20.00 Late Entry Fee: $25.00

***ENTRY FEES must be paid in US Dollars ONLY***

Meet Information: Mark Dennett, 5 Gedney St. Augusta, ME 04330 (Tel: 207-577-1732) mark.r.dennett@gmail.com Mail entry to: Ron Kelly, 105 Maple Ave. Scarborough, ME 04074 (Tel: 207-883-2747) rkelly01@maine.rr.com Make Checks Payable to: USATF-Maine (US Dollars only) Awards: Top 3 finishers in the each category of Open and Masters All age divisions must provide your own approved field implements. Implement check in will be performed

USATF Registration is required USATF membership will be available at meet (Adult 19 and Older - $30).

Schedule of Events Decathlon

Saturday, June 30th Sunday, July 1st
100 Meters Long Jump Shot Put High Jump 400 Meters 110 Meter Hurdles Discus Throw Pole Vault Javelin Throw 1500 Meters

Heptathlon
Saturday, June 30th
100 Meter Hurdles High Jump Shot Put 200 Meters

Sunday, July 1st

Long Jump Javelin Throw 800 Meters

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 Scarborough High School, City of Scarborough the USA Track & Field Maine, their representatives, successors, and assigns for any and all injuries suffered by me at the meet. By entering this competition, I grant USA Track & Field 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. Please print clearly!

Name: _________________________________________ Date of Birth: _______ Age: ____ Street: ______________________City: ___________________ State:____ Zip: ______________ Tel: _______________ Club: ______________________ 2012 USATF Number: ______________ Signature: ___________________________Valid e-mail address:_________________________
Please photocopy this entry form if more Individual Entry Forms are needed