SLDC Memorial
Fairbanks Youth Cross Country Festival
School or Team Entry Form*
NOTE: This form is free text in which you may type information from your keyboard into the appropriate input boxes and select options from the drop-down boxes. When finished, you have the option of printing this page from the 'printer icon' on your browser tool bar.
SCHOOL/CLUB TEAM:
ADDRESS:
CITY:
ZIP CODE:
| Last Name | First Name | Gender | Race |
| ENTRY FEE | |
| $5.00 per Child | |
| $10.00 per Open entry | |
| $50.00 per School/Team (10 or more) | |
| TOTAL | |
Make Checks Payable to: SLDC - FCCF
In consideration of the acceptance of my entry, I, for myself, my executors, administators and assignees, do hereby release and discharge RRCA, SLDC, San Luis Obispo County School District or any County School District, Cuesta Community College, the City and County of San Luis Obispo, and all other sponsors, volunteers and for any and all claims of damages, demands, actions whatsoever and any arising or growing out of my participation in the SLDC Memorial Fairbanks Youth Cross Country Festival. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event.
SIGNATURE: ____________________________________________________________ DATE:
*(Coaches signature required if participant is under 18 years of age)
