RELAY ROSTER FORM

PLEASE PRINT OR TYPE ALL INFORMATION

Club Name _______________________________________

Club Number _____________________________________

                           Check 1 Box Only                4x100       4x400       4x800 

Age Division_______________________Sex___________

Use separate form for each Age Division/Sex/and Relay Event.

A.    Do not attach proof of birth documents to this form; this is covered by the athlete’s individual entry form.

B.    List all club members on each roster submitted or duplicate each roster by age/sex (example:
 Midget Girls  4x100, 4x400, and 4x800 should have same names.)

C.    No additions or substitutions to this roster is allowed after this form is submitted to the District Championship