STATE 3A/4A TRACK CHAMPIONSHIPS
					Official Relay Team Entry Form
School-								District
			Directions: This form is due at the request of your District Meet Manager:  Please TYPE or PRINT LEGIBLY WITH A BLACK PEN the names of all relay team members from your school who are participating at your District Meet.  The District Meet Manager will FAX this form to the State 3A/4A Track Office should any teams qualify.  Once submitted no relay team members may be added.  This will ensure that the same team will be entered at the State Meet that entered the District Meet. Keep yellow copy for your records.
	Boys - 4 x 100 Relay Team								Boys - 4 x 400 Relay Team
Name(First, Last)		Year						Name(First, Last)		Year
1								1
2								2
3								3
4								4
5								5
6			PLEASE TYPE OR PRINT					6
For District Manager use only			LEGIBLY WITH A BLACK PEN					For District Manager use only
		Seed #___								Seed #___
	Girls - 4 x 100 Relay Team				Girls - 4 x 200 Relay Team				Girls - 4 x 400 Relay Team
Name(First, Last)		Year		Name(First, Last)		Year		Name(First, Last)		Year
1				1				1
2				2				2
3				3				3
4				4				4
5				5				5
6				6				6
For District Manager use only				For District Manager use only				For District Manager use only
		Seed #___				Seed #___				Seed #___