
| NAME | STREET ADDRESS | |||||
| APT NO. | ||||||
| CITY | STATE | |||||
| ZIP CODE | ||||||
| TELEPHONE NO. | DATE OF BIRTH | |||||
| SCHOOL | GRADE | |||||
| CITY | STATE | |||||
Check the division in which you will be participating:
| ELEMENTARY SCHOOL DIVISIONS A 1st - 3rd grades B 4th - 5th grades |
MID-SCHOOL DIVISION 6th - 8th grades |
HIGH
SCHOOL DIVISION 9th - 12th grades |
COLLEGE/OPEN
DIVISION College Open |
30'S
PLUS DIVISION Age 30 and over ( 200-meter dash and 1500-meter only ) |
| ENTRANT'S SIGNATURE | PARENT'S SIGNATURE |
(not required for entrants age 18 or older) |
Check
the event(s) in which you will compete (limited to two events)
55-meter dash
200-meter dash
400-meter dash
800-meter run
55-meter hurdles
High jump
Excluding Elementary A & B
Shot put
1500-meter run
For additional forms of further information write to:
Colgate Women’s Games
P.O. Box 24388
Brooklyn, NY 11202
Phone (718) 638-8173
Print and be sure to bring this signed form to Pratt Institute.
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