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.

First Name, Last 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