2010 SMAC 9 Throws Pentathlon

2014 SMAC 9 USATF Masters NW Region Throws Pentathlon Championship & rev 3 USATF Masters Northwest Region Ultraweight Pentathlon Championship August 23, 2014 Hosted by the Seattle Masters Athletic Club and the USATF Pacific NW Association Masters Committee This is a USATF-Sanctioned Event - Throws Pentathlon starts in the morning. - Ultraweight Pentathlon follows the Throws Pentathlon. - 5th event for the Throws Pentathlon (weight throw) is also the 1st event for the Ultraweight Pentathlon; this weight throw will count for both pentathlons. - 9 events total. ONLY THE FIRST 24 ATHLETE ENTRIES ACCEPTED, TWO FLIGHTS West Seattle Stadium, Seattle, Washington August 23, 2014 First flight starts at 8:00 a.m. Second 9:00 a.m. Flights determined by age/gender mix of entries. Flights will be posted on www.pntf.org by 8/21. Weigh-ins 6:30 a.m. Must submit personal implements no later than one hour before start of individual assigned flights. ______male female

______Last Name First Name ______

______USATF Club age (on 8/23/14)

2014 USATF Membership # (Required) ______

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Address City State Zip Code

______Phone Email On-Time Entry Deadline: Postmarked on or before August 15. E Amount Total 2014 SMAC 9 Throws Championships

Event Amount Total

 Throws Pentathlon or $30 ______ Ultraweight Pentathlon $30 ______

Second Pentathlon (Check if applicable)  Ultraweight Pentathlon $20 ______

Lunch - at conclusion of 5th event $10 ______

Late Fee (postmarked August 15th), Additional $15 Accepted if space is available ______

Officials Association Fund donation (optional) ______

TOTAL $ ______

Make check payable to: Seattle Masters A.C. Mail check to: George Mathews, 1900 Weaver Rd. K206 Snohomish, WA 98290 Contact: George Mathews Phone: 208-691-0193, E-Mail: [email protected]

Waiver: I do hereby legally bind myself, my heirs, executors, and administrators to waive, release and discharge any and all rights, claims and damages that I may have against USATF, USATF Pacific NW Association, George Mathews, Seattle Masters A.C., Pacific NW Officials Assoc., their agents, representatives, employers or sponsors for any and all injuries, damages and/or claims which might otherwise have arising out of said event. I hereby attest that I have full knowledge of the risk involved in competing in this event and am physically fit and sufficiently trained to participate in this event. By entering this competition, I grant USA Track & Field, Inc. a limited license to use my name, likeness, image, voice, video, athletic performance, biographical and other information, in any format whatsoever, and to distribute, broadcast and exhibit these without charge, restriction or liability, but only for the purposes of advertising or promoting the sport of Athletics. In no event, however, will such usage constitute an endorsement of any product or service without my specific written consent.

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