REQUEST FOR ENTRY

REQUEST FOR ENTRY—ELITE RACE

This Request form must be faxed to RICH NAGY at 603-623-3074

Please print:

SCHOOL:	COACH:
ATHLETIC DIRECTOR:	HOME ADDRESS:
SCHOOL PHONE:	CITY, STATE:
TOTAL SCHOOL ENROLLMENT (9-12):	HOME PHONE (Required):

A maximum of 12 teams will be selected for this race. If you do not hear from me before Wednesday, September 25, 2002, your entry has been accepted. A list of teams selected for the race will be posted on the Lancer Timing Services’ web site (www.LancerTiming.com) by Wednesday, September 25, 2002.

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Describe below why your team should be included in the Elite field:

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