DERBY MIDDLE SCHOOL INVITATIONAL

OFFICIAL ENTRY FORM – GIRLS

(please submit a separate entry form for any B teams)

ORDER OF EVENTS

1 100 METER DASH 15 55 METER HURDLES

3 JR 100 METER DASH 17 1600 METER RUN 12 SHOT PUT (6 lb)

5 DISTANCE MEDLEY 19 400 METER DASH 13 HIGH JUMP

7 JR-SR SPRINT MEDLEY 21 4 X 100 METER RELAY 28 LONG JUMP

9 200 METER DASH 23 800 METER RUN

25 4 X 400 METER RELAY

SCHOOL __________________________________________ CHECK APPROPRIATE BOX: c A team c B team

COACHES NAME _____________________________________ E-MAIL ____________________________________

Home Phone ____________________ School Phone ____________________ Fax ______________________________

Note: For each entry, please list the name of each competitor (last name, then first name), the athlete’s year in school, and list the event numbers in which the participant is entered (from the chart above) and any performance-related marks beneath the respective event number. If the athlete has no mark in a particular event, then please leave the space below the entry number empty.

Girls Official Meet Entries	Year In School	Event # 1	Event # 2	Event # 3
(Last Name, First Name)		Mark	Mark	Mark
Example entry	8	1	13	12
Doe, Jane		14.0	4’0”	25’0”
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

Girls Official Meet Entries	Year In School	Event # 1	Event # 2	Event # 3
(Last Name, First Name)		Mark	Mark	Mark
Example entry	8	1	13	12
Doe, Jane		14.0	4’0”	25’0”
14.
15.
16.
17.
18.
19.
20.
21.

EVENT #5 GIRLS DISTANCE MEDLEY RELAY	EVENT #7 GIRLS JR-SR SPRINT MEDLEY RELAY
TIME: _________________	TIME: ________________
Athlete Grade	Athlete Grade
1.	1.
2.	2.
3.	3.
4.	4.
5.	5.