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C03 - State Relay Championship Summary

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									                                                                Aurora Energy
                                                       2013 State Relay Championships




Instructions: This summary contains two components and must be submitted WITH the Complete Team Entry Form (Form
CO1) and the Additional Athete Availability Form (Form CO2). This serves as a check to ensure all forms are received by Little
Athletics Tasmania and avoids administratative complications on the day. Please ensure both the 'Complete Team Summary'
and 'Additional Athlete Summary' tabs are completed and submitted either electronically or in hard copy with all entry forms
by Friday, 18th January 2013. NO LATE ENTRIES WILL BE ACCEPTED.
                                                                Aurora Energy
                                                       2013 State Relay Championships
                                                             Complete Team Entry Summary


                                                        ENTER CENTRE NAME HERE
Instructions: A summary of entries for the 2013 LATas State Relay Championships must be submitted on this form. One line
per team per event. Centres may nominate 4 or 5 athletes (5th athlete being a reserve). Teams who nominate a 5th athlete
on the day of the Championships but only pay for 4 athletes in this preliminary process will be invoiced following the event.
Entries close entries close with the LATas Office on Friday, 18th January 2013. This form may be submitted either
electronically, via mail or delivered, so long as it is received by the due date. Official Team entry forms must accompany this
summary. Payment matching the figure at the bottom of this form must be received by the LATas Office by Friday, 25th
January 2013. All State Relay Championship events are conducted as per LATas By-Laws which can be downloaded from the
LATas website.

                                           Team Colour (if more
                                                                      Event (4x100m or       Number of Team       Total Team
 Team #       Age Group         Gender     than 1 team per age
                                                                          4x200m)            Members (4 or 5)     Entry Cost
                                                  group)
    1                                                                                                 0              $0.00
    2                                                                                                 0              $0.00
    3                                                                                                 0              $0.00
    4                                                                                                 0              $0.00
    5                                                                                                 0              $0.00
    6                                                                                                 0              $0.00
    7                                                                                                 0              $0.00
    8                                                                                                 0              $0.00
    9                                                                                                 0              $0.00
   10                                                                                                 0              $0.00
   11                                                                                                 0              $0.00
   12                                                                                                 0              $0.00
   13                                                                                                 0              $0.00
   14                                                                                                 0              $0.00
   15                                                                                                 0              $0.00
   16                                                                                                 0              $0.00
   17                                                                                                 0              $0.00
   18                                                                                                 0              $0.00
   19                                                                                                 0              $0.00
   20                                                                                                 0              $0.00
   21                                                                                                 0              $0.00
   22                                                                                                 0              $0.00
   23                                                                                                 0              $0.00
   24                                                                                                 0              $0.00
   25                                                                                                 0              $0.00
   26                                                                                                 0              $0.00
   27                                                                                                 0              $0.00
   28                                                                                                 0              $0.00
   29                                                                                                 0              $0.00
   30                                                                                                 0              $0.00
   31                                                                                                 0              $0.00
32                     0   $0.00
33                     0   $0.00
34                     0   $0.00
35                     0   $0.00
36                     0   $0.00
37                     0   $0.00
38                     0   $0.00
39                     0   $0.00
40                     0   $0.00
41                     0   $0.00
42                     0   $0.00
43                     0   $0.00
44                     0   $0.00
45                     0   $0.00
46                     0   $0.00
47                     0   $0.00
48                     0   $0.00
49                     0   $0.00
50                     0   $0.00

     Total Due to LATas:   $0.00
                                                                     Aurora Energy
                                                             2013 State Relay Championships
                                                              Additional Athlete Availability Summary


                                                             ENTER CENTRE NAME HERE

Instructions: A summary of additional athlete entries for the 2013 LATas State Relay Championships must be submitted on
this form. One line per athlete per event. Entries close entries close with the LATas Office on Friday, 18th January 2013.
This form may be submitted either electronically, via mail or delivered, so long as it is received by the due date. Official
Additional Athlete Availability Forms must accompany this summary. Centres will be invoiced for additional athletes once
they have been placed in a team by the LATas Competition Director. Please note: As per LATas By-Law CO1 (p), once a
combined team is named, athletes named in the combined team will not be released to substitute in, nor form another team
in that event (eg: 4x100m) in any age group unless such combined team is unable to compete due to illness, unavailability or
injury.


                                                                           4x100m (place an 'X' in 4x200m (place an 'X' in
           Athletes Full Name                 Age Group        Gender     the box if athlete is to be the box if athlete is to be
                                                                          considered for this event) considered for this event)

								
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