HAMPSTEAD CIVIC CLUB

Junior Olympic Registration Form

Ages 6 thru 17

Event Day- Saturday September 26, 2009

Rain Day- Sunday September 27, 2009

At Depot Road Fields

First Name: _____________________ Last Name: ___________________________
(Please print clearly as this is very important to get names correct)

Gender: Male ____ Female ____ Age as of September 1, 2008 ________

This registration form must be completed and returned
to the School Office, the Town Office or the Library
by Wednesday, September 17th
in order for the Civic Club to enter
your name in the computer before the event.
Late signups will cause delays on the day of event.

HAMPSTEAD CIVIC CLUB JUNIOR OLYMPICS
(Open to Hampstead Residents Only)

Saturday, September 26, 2009 at Depot Road Fields

Girls and Boys must be there at 8:00AM


ATHLETES MUST WEAR SNEAKERS ONLY!!!
No bare feet will be allowed. No track shoes or cleats of any kind will be allowed.

Each participant will receive a Junior Olympics T-Shirt

Contact persons for any questions-
Mark Casey:        329-8283