Pacific USATF 1-Mile Grand Prix Race Walk

8/15/2004

Sponsored by Sierra Racewalkers and Pacific Racewalkers Organization

Sanctioned by Pacific USATF

 

 

Ø      Time: 10AM – Men’s race, 10:45AM - Women’s Race

 

Ø      Location: Bella Vista High School Track, 8301 Madison, Fair Oaks, CA

 

Ø      Entry Fee: $10 pre-entry postmarked by 8/7/2004.   $15 after 8/7 and on race day.  Do not mail entries after 8/7.

 

Ø      Entry:  Race is open, with no standards.  Pacific USATF membership is required for grand prix scoring – for more information or to purchase a membership online, go to www.usatf.org

 

Ø      Contact: Ed Parrot at [email protected]

 

Ø      Web Site: http://www.pausatf.org

 

Ø      Directions:

If coming from the north or west, it is recommended that you take highway 50, not Interstate 80 once you get into Sacramento.  If coming from highway 50, either direction, take the Sunrise Ave exit heading NORTH on Sunrise.  You will go through a number of lights, cross the American River, and then go through several more lights.  Take a right when you get to Madison Ave.  If coming from the east on I-80, take the Sunrise Ave exit heading SOUTH on Sunrise.  You will go through many lights, and then take a left on Madison Ave.  The school is several miles down Madison on the left.  Park in the school parking lot.

 

 

Name: __________________________ Birth Date: ____________ Age on 8/15/04 ____Sex _____

 

Addr: _______________________________ City: _______________ State_____ Zip__________

 

Phone: _____________  Email: __________________________ USATF# ___________________

 

Best recent Mile (optional) ______________________

 

WAIVER: In consideration of your accepting my entry, I, intending to be legally bound, do hereby for myself, my heirs, executors or administrators, waive and release forever any and all rights, claims or damages I may accrue against the San Juan School District, Bella Vista High School, Pacific Racewalkers, Sierra Racewalkers, the Meet Directors and all and any sponsors of this sporting event, their successors,representatives and assigns of any and all injuries which I may suffer while traveling to and from and while participating in the Meet held August 15.2004 at Bella Vista High School. I certify that I have no physical defects or injuries that would prevent me from competing in this Meet.

Signature ____________________ date ______________

 

Return form and make check payable to:        Sierra Racewalkers

                                    c/o Edward Parrot           

                                    479 Slocum Dr

                                    Folsom, CA 95630