HERTFORDSHIRE MIDDLESEX INDOOR CHAMPIONSHIPS by jennyyingdi

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									              MIDDLESEX COUNTY A.A. TRACK & FIELD CHAMPIONSHIPS
                   MILE END STADIUM –Saturday 12th May, 2012                                  MIDDLESEX COUNTY A.A.TRACK & FIELD CHAMPIONSHIPS
                            - Sunday May 13th, 2012                                               MILE END STADIUM – Saturday 12th May, 2012
                                                                                                            – Sunday May 13th, 2012
Age Groups;    Age Groups as at Midnight 31/08/12 (except U20’s)                                                      Please complete in Block Capitals
  Under 13 (boys & girls) ; Under 15 (boys & girls); Under 17 (men & women)        Surname………………………………………………….First Name……………………………………….……..
  Under 20 (men & women – Over 17 – 31/08/12 but Under 20 – 31/12/12)
                        Seniors (men & women)                                      Address………………………………………………………………………………………………………………………
Events – Saturday :                                                                ……………………………………………………………… Post Code………………………………………..………
U15 Girls & Boys – Hammer, PV ; Under 15 Boys – Triple Jump
U17 Women – 80mH,100,200,300mH,300,800,1500,3000,HJ,LJ,TJ,PV,SP,DT,HT,JT           Tel. No………………………………Email………………………………………………………………………………
U17 Men – 100mH,100,200,400mH,400,800,1500,3000,HJ.LJ,TJ,PV,SP,DT,HT,JT
U20/SW – 100mH,100,200,400mH,400,800,1500,3000,3000mWalk,HJ,LJ,TJ,PV,SP,DT,HT,JT   Date of Birth…………………….Place of Birth**………………………………………..……………………
U20M – 3000 ; Sen Men – 5000                                                       Age Group…………………………Male/Female…………Club…………………………………………….….
U20/SM – 110mH,100,200,400mH,400,800,1500,3000mWalk,HJ,LJ,TJ,PV,SP,DT,HT,JT
                                                                                   Select events entered below;
Events – Sunday :
                                                                                   TRACK EVENTS              Tick event              Age Group               Pb 2011 onwards
U13   Girls   – 70mH; U13 Boys – 80mH,
                                                                                   70H/75H/80H *
U13   Girls   & Boys – 100,200,800 or 1500, HJ,LJ,SP,DT,JT
U15   Girls   – 75mH; U15 Boys – 80mH                                              100H/110H *
U15   Girls   & Boys – 100,200,300,800 or 1500, HJ,LJ,SP,DT,JT                     100m
                                                                                   200m
                                                                                   300H/400H *
Notes
                                                                                   300m/400m *
     U13, U15 & U17s may only compete in up to three events                       800m
     U20s may only compete in up to five events                                   1500m
     Club vests or representative vests only must be worn as per UKA rule 17      3000m/5000m *
Entries;                                                                           3000m Walk
          Use the right hand half of this information sheet (retain this side)    High Jump
          Entry Fees (per event) - £4.00 (U13), £5.00 (U15,U17,U20), £7           Long Jump
            (Seniors)                                                              Triple Jump
          Cheques or Postal orders made payable to Middlesex County A.A           Pole Vault
                              (Please do not send cash)                           Shot
                                                                                   Discus
                                           
                                                                                   Hammer
          Enclose a stamped self-addressed envelope for map and timetable         Javelin
                       (Please ensure correct postage on envelope)                 * delete as appropriate
          Send entry form and fee to; Major Carr
                                         6 Ash Court                              Number of events entered …...@£…….. each                  Total Entry Fee £………… (enclosed)
                                         Maybank Road, London E18 1EN
          Enquiries to major_carr@yahoo.co.uk                                     I hereby declare that I am an Amateur as defined by UKA Rule 1 and eligible to compete in the
                                                                                   Middlesex County Championships
          0208 504 6108 or 07961 617502
                                                                                   Signed……………………………………………………..Date………………………
         Closing date for receipt of entries; Friday 27th April 2012              * *If a residential qualification is claimed, the following must be completed;- (UKA rule 9)
            This entry form can also be accessed from www.middlesexaa.org.uk       I have continuously resided at
                                                                                   …………………………………………………………………………………………………………………….

                                LATE ENTRIES WILL NOT BE ACCEPTED                  Post Code………………………..              Since……………………………...

								
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