2015 USATF Maine Association Youth, Open & Masters Indoor Championships Sanctioned by USA Track & Field Maine Date: Sunday, February 22, 2015 New Balance Field House, University of Maine, Orono, ME Start Time 11:00 a.m. - Meet Check-in begins at 8:30 a.m. Entries close at 10:00 a.m. on meet day Registration Form Meet Registration:  Pre-Entry $20.00 (1st 4 events, + $3 each additional event)  Late Entry Fee: $25.00 (1st 4 events + $3 each additional event) Make Checks Payable to: Maine USATF (US Dollars only) Late Entry fee will be charged after 12:00 midnight on 02/20/2015 Day of meet registrations will be accepted ***ENTRY FEES must be paid in US Dollars ONLY*** Online meet registration will open soon: www.meusatf.org 2015 USATF Registration is required USATF membership will be available at meet (Youth -$15, Adult - $30) Track Events, Beginning at 11:30 am Women’s followed by Men’s (not on time schedule) 55 Meter High Hurdles, Final (O) W=33", M=42" 55 Meter Dash, Final (All) Racewalk: 800 (Y-12&u),1500 (Y-13-18),3000 (O/M) 600 Meter Dash (All) 1600 Meter Run (All) 400 Meter (All) 4x200 Meter Club Relay (All) 3200 Meter Run (All) 1000 Meter Run (All) 200 Meter Dash (All) 4x400 Meter Club Relay (All) Event Limitations: Ages 12& U 3 Events Ages 13-18 4 Events Open/Masters No Limitation Awards:  Medals to Top 3, Ribbons for places 4th through 6th in each age division. Age Divisions:  All age divisions will be contested under USATF-designated age divisions. For more information or to mail entry: Christine Lipsky 15 Clements Rd, Newburgh, ME 04444 (Tel: 207-234-2455 after 5:30pm) masters@maine.usatf.org Field Events, Beginning at 11:00 am Women's Weight Throw, followed by Men's Weight Throw, followed by Women's Shot-put, then Men’s Shot Put Women's Pole Vault, followed by Men’s Pole Vault Men's High Jump, followed by Women’s High Jump Long & Triple Jumps will be conducted as an Open Pit. Pits open at 11:00 am and will close at 2:45 pm Shot Put / Weight Throws / LJ & TJ -4 attempts PROPER INDOOR SHOTS WILL BE PROVIDED FOR THE FOLLOWING AGE GROUPS: 14&Under (All other age divisions must provide own approved indoor implements) Concessions: There will be a concession stand run by “Snack and Field” from Old Town Event/Performance Event/Performance Event/Performance Event/Performance _________/__________ _________/__________ _________/__________ _________/__________ Name: _________________________________ Date of Birth: _______ Age: ____ Gender: M F As of 2/23/2015 Street: ______________________City: ___________________ State:____ Zip: ______________ Tel: _______________ Club: ______________________ 2015 USATF Number: ______________ In consideration of USATF Maine acceptance of this entry, I, _______________________________intending to be legally bound, hereby for myself, my heirs, executors, administrators, waive any and all rights, claims, or damages I may have against University of Maine, the USATF Maine, their representatives, successors, and assigns for any and all injuries suffered by me at the meet, or as a result of my travel to and from the competition. I attest and certify that I am physically fit and have sufficiently trained for the competition. I acknowledge that my entry fee is non-refundable, including if the event is canceled. By entering this competition, I grant USATF Maine, Inc., a limited license to use my name, likeness, image, voice, video, athletic performance, biographical and other information, in any format whatsoever, and to distribute, broadcast and exhibit these without charge, restriction or liability, but only for the purposes of advertising or promoting the sport of Athletics. In no event will such usage constitute an endorsement of any product or service without my specific written consent. Signature: __________________________________________________ Date: ____________