CVS/pharmacy Downtown 5k USATF Team Registration Form

USATF CLUB NAME____________________________________________

USATF CLUB NUMBER (Required)________________

USATF CLUB Contact_____________________________________

City __________________________________ State ______ Zip code ________

Contact Phone( _____ ) _______________ Fax ( _____ ) _________________

EMAIL ________________________________________________

* Only Open Men\'s Teams will be scored for USATF championship
* Please consider using our online registration. Select Team Captains from main menu for information on how to register your team online
* It will cost less


Name Age USATF Member No
1. __________________________ ____ ___________________

2. __________________________ ____ ___________________

3. __________________________ ____ ___________________

4. __________________________ ____ ___________________

5. __________________________ ____ ___________________





FINAL CHECKLIST
USATF Team Entry Form Completed
All USATF Team Members are registered USATF Athletes and member of a USATF registered Club
All Individual Entry Forms Completed, Entry Fee Submitted
USATF Team Entry Form And All Individual Entry Forms In One (1) Envelope
USATF mail in Entries close 9/5/2007

Checks enclosed, made payable to: Downtown 5K, Inc.
There is no team fee. Each USATF runner pays individual rate of $22 per runner.
Please use our online system and save. $20 online. This form is required to score the USATF teams.
Mail entries and team declaration form to
CVS/pharmacy Downtown 5K
P.O. Box 1940
East Greenwich
RI 02818-0663