HAMPSTEAD CIVIC CLUB Junior Olympic Registration Form Ages 6 thru 17 Event Day- Saturday September 24, 2011 Rain Day- Sunday September 25, 2011 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, 2011 ________ This registration form should be completed and returned to the School Office, the Town Office or the Library by Monday, September 5th in order for the Civic Club to enter your name in the computer before the event. Late sign ups will cause delays on the day of event. HAMPSTEAD CIVIC CLUB JUNIOR OLYMPICS (Open to Hampstead Residents Only) Saturday, September 24, 2011 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- Dano Anderson:        329-4844