Pacific Association Championships

Pinole Valley High School – Pinole, CA

June 10 - 11, 2006

Age Divisions (Please Circle one)

Subbantam 1998+

Bantam 1996 – 1997

Midget 1994 – 1995

Youth 1992 – 1993

Intermediate 1990 – 1991

YoungW/M 1988 – 1989

(1987 if born after July 30^th)

Subbantam, Bantam, Midget - maximum events - 3

Youth, Intermediate, Young - maximum events - 4

Entry fee - $6.00 per event

Make checks payable to: PAUSATF

Mail entry forms and fees to:

Anthony Camargo

9700 Coral Road

Oakland, CA 94603

TEAM ENTRY FORM

Team name:	Phone: ( )
Coach’s Name:	Phone: ( )

Email:

NOTE: Please make sure each athlete is listed on the team athlete entry form with times and/or distances; one form for each age group/gender. Fill out one declaration form for EACH relay team entering the meet. Total fee for relays is total of one event for four athletes, no charge for listed alternates. Alternates must be listed in order to substitute on the relay.

Pacific Association Championships

Pinole Valley High School – Pinole, CA

June 10 - 11, 2006

ATHLETE ENTRY REGISTRATION

Team name:

Age Group/Gender:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

ATHLETE ENTRY REGISTRATION

Team name:

Age Group/Gender:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Last name: First name: Birth Date: USATF#

Event 1	Time/Dist:	Event 2	Time/Dist:
Event 3	Time/Dist:	Event 4	Time/Dist:

Pacific Association Championships

Pinole Valley High School – Pinole, CA

June 10 - 11, 2006

RELAY DECLARATION FORM

Team name:	Age Group/Gender:
Relay Event: 4 X	Seeding Time:

Last Name:	First Name:
Last Name:	First Name:
Last Name:	First Name:
Last Name:	First Name:
Last Name:	First Name:
Last Name:	First Name:
Last Name:	First Name:
Last Name:	First Name:

This Relay Roster Form must be completed and filed at your Youth Association Championships prior to your team’s participation.