2004 Yelm High School

2016 Washington State Combined Events Championships Boys Decathlon Entry

Name: ______School: ______

Home Address: ______Phone: ______

City: ______Zip: ______Grade: ______

Date of Birth: ______Coach’s Name: ______

Email :______Coach’s Phone: ______

Fill in your best marks in each of the following events. Circle those marks actually recorded in WIAA sanctioned meets this year. If you have no mark in an event, leave it blank. 100 Meter dash ______100 Hurdles (42) ______

Long jump ______Discus (2 kilo) ______

Shot put (16) ______Pole vault ______

High jump ______Javelin ______

400 Meter dash ______1500 M. run (1600) ______If accepted, my starting height in the high jump will be ______and the pole vault will be ______.

The return of this signed form releases all officials and agents including but not limited to Arlington High School and Arlington School District from all responsibility for injuries and/or accidents. All three of the following signatures must be present on this form in order for the applicant to compete in the meet:

Applicant Signature: ______Coach Signature: ______Parent/Guardian Signature: ______

Applications Due: May, 27th, 2016

Mail to: Judd Hunter 23310 127th Ave. N.E. Arlington, Wa. 98223

Email to: [email protected] $40 check to: Washington State Combined Events