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F.Name___________________________ MI_____ L.Name_______________________________
DOB______/______/______/ Gender(M/F)___________
Address_________________________________________ City_______________________
State______ Zip________ Phone (
)____________
Your AAU #_________________________ Team_________________________________
Note: If you do not have your 2009 AAU membership number
you will be required to purchase
one to participate in the meet. www.aausports.org
Event(s) /Seed time or dist.
1.___________________/_______________ 2._________________/_________________
3.___________________/_______________ 4._________________/_________________
Relay or relay alternate must be listed as events (team
can list up to 8 athletes for a relay. A team may have multiple relays
but athletes must be listed as team A, B, etc
Note: thrower should provide implements which will become
property of the meet until event concludes.
Fee enclosed: $____________________ Checks payable to Cambridge
Jets Track Club
***Athlete Release***
In consideration for your acceptance of this entry. I intend to be legally
bound, do hereby for myself, the athletes, heirs , executors , and administrators
waive , release , and forever discharge any and all rights ands claims
for damages which may hereafter occur to athletes against the AAU, Cambridge
Jets Track Club, AAUNE, Thayer Academy,
or any support groups or organizations, their respective officers or agents
, representatives , successors, and or assigns for any and all damages
which may be sustained and suffered by athletes in connection with
their association with or which might arise out of traveling to , participating
in, or returning from scheduled events.
Athlete Name (print) ______________________________________
Athlete Sign (if 18) _____________________________________________
Parent/Guardian Sign (if athlete under 18) ________________________________________
Date___________________
Send application and payment to Curtis Jackman,
19 Nichols Street Woburn, MA. 01801
New England AAU Association Championship Check list
_____ Athlete application(s)
_____ Payment: check made out to the Cambridge Jets Track Club
_____ Xerox copy proof of age
_____ Signed Athlete Release
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