2003 Vermont High School Cross-Country Championship
at Thetford Academy
November 1, 2003
Create Your Own Registration Form


Prepare Your Own Form, Including All of the Information Requested, on a Computer
You May Also Download a Form From This Site

Please, Please, Please type all the information or use a computer to create the form. You CAN'T BELIEVE how difficult it is to read hand-printed, written, or scribbled information for hundreds of runners. Please use numbers for grades.

Top 2 Reasons for Having to Return Incomplete Forms:
(1) Not having Principal sign athlete eligibility statement.
(2) Not listing FOUR dates on which EACH athlete competed to show eligibility.

Give This Information About Your School:

Name of School
Mailing Address
City, State & Zip
Phone Number
FAX Number
Name of Athletic Director
AD E-Mail and AD Home Phone
School VPA Division for Cross-Country.  (Note: There was a realignment in 2001).
Division 3 Schools only.  State whether you have VPA permission for 8th graders to compete.

Give This Information About Each Coach:

Name of Coach
Work Phone
Home Phone
E-Mail Address, if any

Make a list, in columns, including the following information for each runner. Grouping helps: All girls, by grade; then all boys, by grade. Please arrange your columns as shown below.

In the "Eligibility Column" list the dates of the four meet in which the athlete competed in order to be eligible to compete in the Championship.  It is OK to list a date after the form has to be sent in, so long as the athlete actually competes on that date.

Athletes' Full First & Last Names
No Initials; No Nicknames, Please
Grade
Number
Girl or
Boy
Eligibility
List 4 dates
_____________________________________________________________
_____________________________________________________________
Example:
Daniel Grossman
12Boy 9/13; 9/20; 10/6; 10/22

Add the following certification to the end of the list of athletes and have your principal or head of school sign it:

Principal's or Head of School's Certification:  Each entrant listed above has had a health evaluation and is certified to participate in this type of event, and is adequately covered by health and accident insurance in a manner satisfactory to the school.

Signature of Principal or Head of School_____________________________
 

Entry Fee:

Any Number of Girls -- $35
Any Number of Boys -- $35

Mail the form you have created in with your check. Do not fax it. Do not e-mail it. Mail it with your check.
Mail the form, with your check,
by Certified mail, by October 17, 2003. You may also hand-deliver the form to Thetford Academy before 5:00 p.m. on Monday, October 20, 2003.  Call Dan Grossman before hand-delivering.

Mail To: Dan Grossman, Meet Director, Thetford Academy, PO Box 190, Thetford, VT 05074
For Information: Dan Grossman, Meet Director, (802) 649-1234 (Work); 785-4074 (Home); 649-3499 (FAX)
E-mail: Dan@dg123.com