Lions Championships TF Meet
Pentathlon Registration

The outdoor pentathlon consists of 5 events: LJ, Javelin, 200, Discus & 1500.
We will run these 5 events for all ages, both genders.

Fill this out ONCE per athlete, then click SUBMIT at the bottom.

First Name:

Middle Ini:

Last Name:

Phone:

( )

Email:

Birth Date - Month/Day/Year:	01 02 03 04 05 06 07 08 09 10 11 12	01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31	1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018		Gender:	M	F
Club: (Optional)	Unattached 3D Athletics 620 Running Austin Honey Badgers Austin Speedsters Austin Sprint Club BC Elite Laredo Cool Running Crim Dela Crim Flo Jo San Antonio Great Esteem TC Hill Country Comets Leander Spartans Lone Star PV South Austin Steel STX Punishers Texas Throwers Texas Thunder Valor South Austin Waterloo TF

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Name of person paying (if not self)?

Initials:		I have read and will abide by THIS MEET WAIVER

Enter the following ANTI-SPAM numbers:

Click SUBMIT (just once) when finished, or RESET to clear all fields and start over.

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