* Athlete First Name
* Athlete Last Name
* Gender
Male
Female
* Date of Birth (mm/dd/yyyy)
* Age (as of race day)
* Grade (as of race day)
Athlete Street Address
City
State
Zip
* Athlete Contact Phone
xxx-xxx-xxxx
* Athlete Contact E-mail
(Note: If unknown, please type NONE in the field)
* Coach Name
Coach Phone
xxx-xxx-xxxx
* Coach E-mail
(Note: If unknown, please type NONE in the field)
* School or Club Name
School City/State
/
First Time participant?
yes
no
If no, how many years?
Are you interested in attending the complimentary Welcome Reception? (LaQuinta Inn,
Friday, June 6, 7 - 10 pm, refreshments provided) (Note: By selecting YES, you are not officially committing
to attend. Rather, additional information will be sent to you closer to the event.)
yes
no
* How did you hear about the Golden South Classic?
goldensouth.com
dyestat.com
milesplit.com
Track & Field News Advertisement
Flyer of Save the Date at a Track event
School or Coach
Banner displayed at other Track events
Other
Track Honors or awards received?
* Are you entering the event as participant in the PREP Division or the CLASSIC?(you may only enter one or the other)
prep
classic
Click here to learn more about the PREP Division
* Mandatory Participant Waiver has been submitted?
yes
no
Click here to download and print waiver
* First Event Entering ($15.00)
Pole Vault
Discus
Shot Put
Long Jump
High Jump
Triple Jump
110M High Hurdles - Men
100M High Hurdles - Women
100M
200M
400M
800M
1,600M
3,000M
400M Low Hurdles - Women (Classic Event Only)
400M Intermediate Hurdles - Men (Classic Event Only)
4x100M Relay -(Classic Event Only)
4x400M Relay -(Classic Event Only)
First Event's Best Performance (please refer to qualifying standards for eligibility)
Second Event Entering ($5.00)
Pole Vault
Discus
Shot Put
Long Jump
High Jump
Triple Jump
110M High Hurdles - Men
100M High Hurdles - Women
100M
200M
400M
800M
1,600M
3,000M
400M Low Hurdles - Women (Classic Event Only)
400M Intermediate Hurdles - Men (Classic Event Only)
4x100M Relay -(Classic Event Only)
4x400M Relay -(Classic Event Only)
Second Event's Best Performance (please refer to qualifying standards for eligibility)
Third Event Entering ($5.00)
Pole Vault
Discus
Shot Put
Long Jump
High Jump
Triple Jump
110M High Hurdles - Men
100M High Hurdles - Women
100M
200M
400M
800M
1,600M
3,000M
400M Low Hurdles - Women (Classic Event Only)
400M Intermediate Hurdles - Men (Classic Event Only)
4x100M Relay -(Classic Event Only)
4x400M Relay -(Classic Event Only)
Third Event's Best Performance (please refer to qualifying standards for eligibility)
Fourth Event Entering ($5.00)
Pole Vault
Discus
Shot Put
Long Jump
High Jump
Triple Jump
110M High Hurdles - Men
100M High Hurdles - Women
100M
200M
400M
800M
1,600M
3,000M
400M Low Hurdles - Women (Classic Event Only)
400M Intermediate Hurdles - Men (Classic Event Only)
4x100M Relay -(Classic Event Only)
4x400M Relay -(Classic Event Only)
Fourth Event's Best Performance (please refer to qualifying standards for eligibility)
* PLEASE ACKNOWLEDGE THE FOLLOWING:
I understand that if I am registering AFTER end of business day, June 4, 2008, I will incur a $25.00 Late Registration Fee.
NOTE: If paying online, you must pay for each athlete individually after submitting their registration.
You cannot combine multiple athlete payments online but you can pay for multiple athletes by credit card by calling 321-841-8022.
Your registration fees will be personally verified by Golden South Classic.
If totals are entered incorrectly, you will be contacted to correct payment. NO ATHLETES
are officially entered without proper payment (in full) and are subject to the $25 late fee if payment
is not received prior to the 6/4/08 deadline.
Online Payment – Credit Card Only