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Penn Relays Race Walk Entry Form

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Penn Relays Race Walk Entry Form Penn Relays Race Walk Entry Form Date: Saturday, April 27th 2019 Entry Deadline: April 1, 2019 (Entries Race Schedule: received after this date will be returned unopened.) 7:00AM – Men’s 5K (OD, Junior, Master) Entry Fee: $25.00 7:30AM – High School Girls 5K Make check payable to: Trustees of the 8:00AM – Women’s 5K (OD, Junior, Master) University of Pennsylvania Event Coordinator: Solomiya Login Mail Entry form and payment to: Phone: 215-801-2428 Penn Relays Entry Email: [email protected] Solomiya Login Join us on Facebook PO. Box 52683 Philadelphia, PA 19115 Penn Relays – Race Walk Use the following times as guidelines for qualifying. Quality performance at another distance may also be considered to fill each field. Time Updates: Qualifying Time updates will be accepted if RECEIVED by 4/5/2019. Final qualifying race: Sunday, March 31, 2019 at Sachem North HS (212 Smith Rd. Lake Ronkonkoma, NY 11779) Meet Director: Gary Westerfield – [email protected] Qualifying Men’s Standard Men’s Equivalent Women’s Standard Women’s Equivalent Standards (5000m/5K) (3000m/3K) (5000m/5K) (3000m/5K) High School N/A N/A 29:00 16:45 Junior (14-19) 26:30 15:45 29:00 16:45 Open (20+) 24:00 14:00 25:30 15:00 Masters (40+) 26:30 15:45 29:00 16:45 Fields are limited to 25 entrants for each race. Final selection is made by the Event Coordinator. The Junior races are also part of the USA Race Walking Grand Prix. All athletes wishing to score must include their 2019 USATF # on the entry form. Information on housing and directions to Franklin Field can be found at www.thepennrelays.com 2019 USATF Membership # _________________________ (Required for USA Race Walking Grand Prix) First Name:___________________________ Last Name:____________________________________ Name of: Club, Team or School:________________________________________________________ Date of Birth:__________________ Age on Race Date:__________Gender (circle): Male / Female Division (circle one): High School / Junior / Open / Masters Entry Time/Distance:_________________________________________________________________ (include meet/race name and date for verification) Street Address:______________________________________________________________________ City:________________________________________________ State:______ Zip:__________ Phone:________________________ Email:______________________________________________ Each entrant is requested to complete the attached athletic resume. This information will be used by the announcer during the race to draw attention to your accomplishments. Penn Relays Race Walk Entry Form (Don’t Write In This Box – Staff Only) Athlete Resume RACE NUMBER: Name: ___________________________________________________________ Gender: __________ Age: __________ Hometown: __________________________________ State: _____________ Name of School or Club: ______________________________________________________________ # of Years Competing: ________________________________________________________________ Best Times (all distances): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Major Athletic Accomplishments: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Interesting Hobbies or Other Notes: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ .
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