2016 USATF NEBRASKA ASSOCIATION

JUNIOR OLYMPIC DEVELOPMENTAL MEET

McCookHigh School700 West 7th StreetMcCook, Nebraska

Sunday, May 15, 2016Field events 1:00 pm  Track eventsstart after field events

Early entry deadline: Thursday, May 12Late registration: May 15, 11:00-12:00 noonat the registration booth

Return entry form toMeet Director: Jason Grigg, PO Box 1208, McCook NE 69001

For more information, contact: Jason Grigg at (308) 345-8745

**IN ORDER TO COMPETE, ALL PARTICIPANTS MUST CHECK-IN AT THE REGISTRATION BOOTH**

ENTRY FEE:$4 per individual event and $16 per relay team, if received on/before Thursday, May 12.

$8 per individual event and $32 per relay team, if received on/after Friday, May 13.

Entry fees are non-refundable if the meet is cancelled due to weather.

Make checks payable to: McCook Optimists

AWARDS:Medals to the top three (3) places and ribbons to the next three (3) places in each event.

PROTESTS:Must be made in writing to the Meet Director with a $10 deposit within 15 minutes of the event.

RELAYS:Relay members must wear the same color shirt. Only registered USA Track & Field club relay teams may compete in the Association Junior Olympic Championships in Omaha.

NAME (print):______BIRTH DATE:______

ADDRESS:______PHONE #:______

CITY:______STATE: _____ZIP:______

E-MAIL:______

USATF CLUB NAME (or “Unattached”): ______BOY GIRL

(circle one)

I certify that ______was born on the date above and has my permission

to compete in the Junior Olympics Program. I accept full responsibility for this participation. I have included entry fees of $4 for each individual event and/or $16 for each relay (or $8 and/or $32, on/after Friday, May 13).

Signed ______, Parent or Guardian

AGE DIVISION (check one)
15-16 Boys/Girls– born in 2000 or2001
13-14 Boys/Girls– born in 2002or 2003 / 11-12 Boys/Girls– born in 2004 or 2005
9-10 Boys/Girls– born in 2006 or 2007
8 & Under Boys/Girls– born in 2008or later
Event(eligible age divisions) / Event(eligible age divisions)
100 Meter Dash (all age divisions)
200 Meter Dash (all age divisions)
400 Meter Dash (all age divisions)
800 Meter Run (all age divisions)
1500 Meter Run (11-12, 13-14, 15-16)
4x100 Meter Relay (all age divisions)
4x400 Meter Relay (11-12, 13-14) / Long Jump (all age divisions)
High Jump (11-12, 13-14, 15-16)
Shot Put (11-12, 13-14G 6# --- 13-14B, 15-16G 4k ---
15-16B 12#)
Discus Throw (13-14, 15-16G 1k ---15-16B 1.6k)
15-16 and 13-14 divisions may enter up to four (4) events, including relays. 11-12, 9-10, and 8 & Under divisions may enter up to three (3) events, including relays.

For additional developmental meet dates and locations, see the association’s web site: