Club Championship Entry Form 2017

STEVENAGE & NORTH HERTS A.C.

CLUB CHAMPIONSHIPS; April 8th 2017 for Club members only and invited disability athletes

Each Athlete chooses to compete in one event from each of the groups listed below (NB cannot choose 300/400m and 800m)

Disability athletes please choose three events ensuring only one from each event group

 SPRINT MIDDLE DISTANCE JUMPS THROWS
Hurdles

(not U11s)

800m High Jump Shot
100m 1500m Long jump Discus
200m 3000m

(not u11/u13)

Triple Jump

(not u11/u13)

Hammer

(not u11/u13)

300m

(only u15g/u17w)

Can’t choose 300/400m & 800m Pole Vault

(not U11/U13)

Javelin
400m

(not u11/u13)

400

(Disability athletes only)

Entries to be made on the attached entry form to be given to SHEENA HARLEY or NORMA HARRIS by 4th April at the latest

Entry fee of £8.00 per athlete to be handed in with the entry form. Every entry will receive an Anniversary Games Medal regardless of place in Club Champs.

Points gained for each performance are added together The points tables used are the AAA 5 star award tables

The Club has individual trophies for under 11, under 13, under 15, and over 15 age groups; (both sexes)

Individual first place medals will be awarded in the following categories

under 11; under 13; under 15; under 17; under 20; 20-34; 35-44;   45+

An Open Meeting for Athletes not competing in the Club Champs will be running at the same time.

After the event, refreshments will be available while the points are added and the winners decided.

 

FIRST NAME  
SURNAME   
Date of birth   
AGE GROUP Please circle one

u11   u13     u15   u17   u20     21-34     35-44   45+

 Male   or     Female… please cross out as appropriate    

PLEASE CHOOSE ONE EVENT FROM EACH COLUMN and CIRCLE

     

SPRINT MIDDLE DISTANCE JUMPS THROWS
Hurdles

(Not U11s)

800m High Jump Shot
100m

 

1500m Long jump Discus
200m

 

3000m

(not u11/u13)

Triple Jump

(not u11/u13)

Hammer

(not u11/u13)

300m

(only u15g/u17w)

Can’t choose 300/400m   & 800m Pole Vault Javelin
400m

(not u11/u13)

400

(Disability athletes only)

Disability athletes please choose three events ensuring only one from each event group

THIS PART OF THE FORM, TOGETHER WITH £8.00 ENTRY FEE,

TO BE GIVEN TO SHEENA HARLEY or NORMA HARRIS AT THE TRACK

NO LATER THAN 4th April