Entry Deadline: Friday, April 18, 2014

School__________________ Coach____________________ Phone________________________

Instructions:

1. List all competitors in the name column, as they appear on your WVSSAC eligibility form.

2. Enter three individuals as you choose in each event. On meet day you may scratch but additions will be taken.

3. When entering a competitor in an event, please list the time, height, or distance for that competitor. Coaches may be asked to verify an entered time, so have documented proof.

4. Please print or write clearly. Use a ballpoint pen. Do not use felt tip pen!

5. Mail or fax to: Willie Ruffin, Jr. Capital High School, 1500 Greenbrier St. Charleston, WV 25311, FAX (304) 348-6509

6. E-mail : WRUFFIN@mail.kana.k12.wv.us

First & Last Name	100	200	400	800	1600	3200	110100	300	Shot	Disc	LJ	HJ	PV	4x100	4x200	4x400	4x800	SHR

List relay times 4x100_____________ 4x200___________ 4x400____________ 4x800______________ SHR_______________