HAMPSTEAD CIVIC CLUB Junior Olympic Registration Form Ages 6 thru 17 Event Day- Saturday September 15, 2012 Rain Day- Sunday September 16, 2012 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, 2012 ________ This registration form should be completed and returned to the School Office, the Town Office or the Library by Wednesday, September 5th 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 15, 2012 at Depot Road Fields Girls and Boys must be there at 8:00AM RAIN DATE Sunday, September 16, 2012 at Depot Road Fields Girls and Boys must be there at 1:00PM 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