SECTIONAL ENTRY FORM

 

BOYS              GIRLS                         ENTRY DEADLINE: WEDNESDAY FEB. 21

                                                            POST MARKED DATE: TUES: FEB 20

 

MAIL ENTRIES TO:  DAVE HENNESSEY

                                    1352 PINNACLE ROAD

                                    HENRIETTA, NEW YORK 14467

 

An athlete may enter only three events.  However, you may place an athlete in more than one relay,
but that individual may only compete in three events, and that person’s name does count towards one
of the six names allowed for a relay entry.

 

Name & Grade                        Event /Performance            Event/Performance            Event/Performance

 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 

Relays ( Enter Team by Placing a time on the line)

 

_________4 x 800m                ___________4 x 400m             ____________4 x 200m

 

            I hereby certify that these students are eligible to represent __________________

and meet fully the rules of eligibility of NYSPHSAA and Section V.

 

____________________            _____________________            ____________________

Coach’s Signature                    A.D.s  Signature                      Principal’s Signature