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President’s Open – Combined Event
President's Open - Combined Events
Athlete Information
Entrant Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age Division
*
For youth, age division is determined by what age you will be on 12/31/2012. For open and masters, age division is determined by what age you are on the day of competition.
Select One
Youth
Open/Masters
Club Name
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Phone
*
Email
Emergency Contact's Name
*
First
Last
Emergency Contact's Phone
*
Event Information
Event Entering
*
Ages divisions are determined by birth year. SubBantams are born in 2004 or later; Bantams in 2003-2002; Midgets in 2001-2000; Youth in 1999-1998; Intermediate in 1997-1996; Young in 1995-1994 and in 1993 after July 29.
Choose one
Triathlon/Bantam
Pentathlon/Midget or Youth
Pentathlon/Masters
Heptathlon/Intermediate and older women
Decathlon/Intermediate and older men
Total
Your entry is not done until you have completed payment.
$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 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
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