| TED DUTKIEWICZ MEMORIAL RACES ENTRY FORM (LIMITED TO 10 SCHOOLS) ENTRY FEE $30.00 PER SCHOOL DUE BY SEPTEMBER 17. |
| SCHOOL ___________________________________________________________ HEAD COACH'S NAMES _____________________________________________PHONE _____________ _____________________________________________ PHONE ____________ EVENTS ENTERED (CHECK ALL THAT APPLY) BOYS JV ________ GIRLS JV ________ BOYS VARSITY ________ GIRLS VARSITY ________ (9:00) (9:05 - IF NEC.) (9:30) (10:00) SPECIAL TEE SHIRTS AWARDED TO THE TOP TEN (10) FINISHERS OF VARSITY RACES TRAINER SHALL BE ON PREMISIS. SIGNATURE OF ATHLETIC DIRECTOR OR PRINCIPAL ______________________________________ |
| MAKE CHECKS PAYABLE TO: MICHAEL BUDD OR WMTF3CA SEND TO: MICHAEL BUDD/DUCKRACES P.O. BOX 123 EAST LONGMEADOW, MASS. 01028-0123 |
| TO CONFIRM ENTRY, EMAIL: [email protected] |