THE
29TH ANNUAL DELAVAN PANTHER FROSTBITE CLASSIC
1/2
Preregistration
entry fee is $12 for IVS members-$15 for others and ON RACE DAY $18 FOR
EVERYONE. This event is being held at
Delavan High School, Delavan, IL - 22 mi. South of Peoria using Routes 155 and
122 or Springfield Road. If you are
coming from
The course starts
near
AGE
DIVISIONS AND AWARDS:
Men # of Trophies Women #
of Trophies
30 -
Under 3 30 - Under 3
31 -
34 3 31 - 34 3
35 -
39 3 35 - 39 3
40 -
44 3 40 – 44 3
45 -
49 3 45 - 49 3
50 -
54 3 50 & Over 3
55 –
59 3 Top 3 Overall
Females 3
60
& Over 3 Top Delavan Female 1
Top 3 Overall Male
Finishers 3 T-shirts guaranteed to all
pre-registrants
Top 2 Delavan Male
Finishers 2
This race is the first of the 2004 season in
the Illinois Valley Striders Grand Prix Series.
Return this entry
form and waiver to: Dave Camp Make checks payable to
Home:
____________________________________________________________________________________
NAME_____________________________________
BOX OR ST.____________________________
CITY______________________________________ STATE _________ ZIP __________________
AGE ______________
(On Race Day) SEX
_______________ PHONE ____________________
T-Shirt Size Med___ Lg____ XL____
XXL____
WAIVER
In consideration of
your accepting this entry, I, my heirs, executors, and administrators waive all
claims or damages against the directors of the race, the Delavan School
District, the Illinois Valley Striders, the City of Delavan, the County of
Tazewell, the Townships of Delavan and Boynton, for injuries suffered to
me. I also affirm that I have the
necessary physical examination by a physician to qualify me in this event.
DATE_______________________
SIGNED _____________________________________________
(Participant)
DATE_______________________
SIGNED______________________________________________
(Parent
if entrant is under 18)