CENTRAL VERMONT WAVEMAKERS
SNOWFLAKE SPRINTS
JANUARY 12, 2002
NORWICH UNIVERSITY, NORTHFIELD, VERMONT 05663
SANCTION # NE-02-24
Coach:________________________________________________
Phone:__________________________ Email: ___________________________
Team Mailing Address:________________________________________________________
Contact
Person:_____________________________________________
Phone:__________________________ Email: ___________________________
Team Mailing Address:________________________________________________________
PLEASE PROVIDE NAMES OF OFFICIALS WHO COULD HELP AT THE MEET AND WHICH SESSIONS:
____________________________________________________________________________________
# of entries |
$ Per Entry |
Total |
|
Individuals |
$2.50 |
||
Individuals Non-electronic | $3.00 | ||
Total Events |
|||
Relays | $7.00 | ||
Total # of entries = |
Total $ due |
ENTRY DEADLINE: December 28, 2001
PLEASE MAKE CHECKS PAYABLE TO; Central
Vermont Wavemakers
PLEASE MAIL TO:
Marie Chilson ChilsonRMD@aol.com |
100 Shaw Circle |
Northfield, VT 05663 |
ANY SWIMMER WHOSE ENTRY IS ACCEPTED, WILL FOR HIMSELF, HIS HEIRS OR EXECUTORS AND ADMINISTRATORS WAIVE AND RELEASE ANY RIGHTS AND CLAIMS FOR DAMAGES HE/SHE MAY HAVE AGAINST UNITED STATES SWIMMING, NEW ENGLAND SWIMMING, CENTRAL VERMONT WAVEMAKERS, OR ANY OF THEIR OFFICERS, OR NORWICH UNIVERSITY FOR ANY AND ALL INJURIES SUFFERED BY HIM/HER AT SAID MEET.
______________________________________________
Signature, Authorized Team Official