Nomination for Regional Championships Regional Championships Single Athlete Nomination FormNomination form required to be submitted for each athlete. Please ensure you have read the draft program and are aware of the timing of the events you are nominating for. MAXIMUM OF 5 EVENTS PER ATHLETEAthlete Name* First Last Registration Number*Age*Under 7Under 8Under 9Under 10Under 11Under 12Under 13Under 14Under 15Under 16Under 17Example: U7 = Under 7Number of Events*12345Under 7 Events* Sprints - 70m Sprints - 100m Sprints - 200m Long Jump Discus Shot Put MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 8 Events* Sprints - 70m Sprints - 100m Sprints - 200m Hurdles - 60m Long Jump Discus Shot Put MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 9 Events* Sprints - 70m Sprints - 100m Sprints - 200m Sprints - 400m Middle/Distance Run - 800m Walk - 700m Hurdles - 60m Long Jump High Jump Discus Shot Put MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 10 Events* Sprints - 70m Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Walk - 1100m Hurdles - 60m Long Jump High Jump Shot Put Discus MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 11 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1100m Hurdles - 80m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 12 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1500m Hurdles - 80m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 13 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1500m Hurdles - 80m Hurdles - 200m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 14 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1500m Hurdles - 80m (Girls) Hurdles - 90m (Boys) Hurdles - 200m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLYUnder 15 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1500m Hurdles - 90m (Girls) Hurdles - 100m (Boys) Hurdles - 300m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLY Under 16 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1500m Hurdles - 90m (Girls) Hurdles - 100m (Boys) Hurdles - 300m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLY Under 17 Events* Sprints - 100m Sprints - 200m Middle/Distance Run - 400m Middle/Distance Run - 800m Middle/Distance Run - 1500m Walk - 1500m Hurdles - 100m (Girls) Hurdles - 110m (Boys) Hurdles - 300m Long Jump High Jump Triple Jump Shot Put Discus Javelin MAXIMUM OF 5 EVENTS PER ATHLETE ONLY Parent/Guardian Name* First Last Contact Phone Number*Contact Email Address I understand that photography may be used at USCLAC events and agree that USCLAC may use such photographs of my child for any lawful purpose including such purposes as publicity, illustration, advertising and web content* Yes, I agree No, I would prefer not
