<p> 2016 Washington State Combined Events Championships Boys Decathlon Entry </p><p>Name: ______School: ______</p><p>Home Address: ______Phone: ______</p><p>City: ______Zip: ______Grade: ______</p><p>Date of Birth: ______Coach’s Name: ______</p><p>Email :______Coach’s Phone: ______</p><p>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) ______</p><p>Long jump ______Discus (2 kilo) ______</p><p>Shot put (16) ______Pole vault ______</p><p>High jump ______Javelin ______</p><p>400 Meter dash ______1500 M. run (1600) ______If accepted, my starting height in the high jump will be ______and the pole vault will be ______.</p><p>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:</p><p>Applicant Signature: ______Coach Signature: ______Parent/Guardian Signature: ______</p><p>Applications Due: May, 27th, 2016</p><p>Mail to: Judd Hunter 23310 127th Ave. N.E. Arlington, Wa. 98223</p><p>Email to: [email protected] $40 check to: Washington State Combined Events</p>
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