WESTERN DUBUQUE

Little Kids Track Meet

Western Dubuque High School

Saturday, May 14, 2016
Rain Date: Saturday, May 28, 2016
Meet Day Registration
9:15 9:45 a.m.
DIVISIONS:

AWARDS:

FIELD EVENTS
10:00 10:45 am

Boys and Girls

Grade 1
Grade 2

RUNNING EVENTS
Will follow field events

Grade 3

Grade 4

Grade 5

Grade 6

1st, 2nd, 3rd & 4th Places Medals

REGISTRATION FEE:$15.00 in advance (Postmarked by May 10th)

$20.00 at the door
CONCESSION STAND:
ADMISSION:

$2.00 Adults & $1.00 Students

FOR MORE INFORMATION CALL/email: 563-876-3442/gerald.ross@wdbqschools.org

----------------------------------------------------------------Name ___________________________________ Grade _______Email________________________________
Address _________________________________ City _____________________ State _____ Zip __________
I certify that the above information is correct and the entrant has my permission to compete in the W.D. Little Kids Track Meet. I hereby accept full
responsibility for his/her behavior & participation. I release the W.D. Booster Club, Western Dubuque Community School and individuals assisting
in conducting tournament from all liability and responsibility for accidents or injuries to my child, myself or companions during course of tournament
(including arrival and departure).

Parent/Guardian Signature ____________________________________ Telephone # _____________________

Circle up to 3 events

Athletes competing in more than 3 events will forfeit all medals

Field events

Boys
Football throw
Long Jump

Girls
Softball throw
Long jump

Running events

200 meter
100 meter
50 meter
7 flight hurdles (18 hurdles)
400meter

200meter
100 meter
50 meter
7 flight hurdles (18 hurdles)
400 meter

MAIL ENTRY FORM & FEE TO:

: Little Kids Track Meet, Western Dubuque High School, P.O. Box 379, Epworth, Iowa 52045
PLEASE MAKE CHECKS PAYABLE TO: WD Little Kids Track