Patriot’s Invitational

Athlete Information

Entrant Name*

First Last

Gender*

Date of Birth*

Age Division*

Youth divisions are for 18 and younger. Age is determined by the age you will be on 12/31/2024. (Except for those 18 yr. olds that will turn 19 after August 3, 2024.) For open and masters, division is determined by what age you are on the day of competition. (Registration includes credit processing.)

Club Name

Address*

Street Address City State ZIP Code

Phone*

Email*

Emergency Contact's Name*

First Last

Emergency Contact's Phone*

Event Information

Events Entering*

List all events you wish to enter. Click on + to add a row. Twelve and younger have a limit of 3 events. Thirteen and older have a limit of 4 events. Event limit does not include relays. Relays may be mixed, but will not count toward meet records or awards or team points. Relays will be entered at the meet.

Event	Seed Time/Mark

Total

Your entry is not done until you have completed payment. There will be no refunds given for athlete non attendance.

$0.00

Additional Information

By checking this box and in consideration of your acceptance of my entry, I hereby for myself, my heirs, executors, administrators and assigns, waive all claims to damages which I might have against Empire State Sports Council, their board of directors, staff, event officials, volunteers and site entities (Rensselaer School District) for any and all injuries suffered by me at said events.

Agree to Terms*

I agree

Entrant's Guardian

If under 18 years old, Parent or Guardian:

First Last

Liberty Tour

Patriot’s Invitational

2024 - Patriot’s Invitational

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