2008 Limestone Sport Stacking Championship

INDIVIDUAL REGISTRATION FORM
One form per competitor please!

Name:

Date of birth:   mm/dd/year

Phone: (         )

Current address:

City:

Prov:

Postal Code:

School/Organization:

Coaches Name:

Parent/Guardian:

Home Cell: (          )

Email: (optional):

Age* Division (Circle one):    *Age as of date of tournament


         6 and under          7          8          9          10          11          12          13-14

       Collegiate (19-14)          Masters (25-34)          34-44          Seniors (60-above)

If you are interested in being on a relay team, your coach must fill in the appropriate Relay Team form.

Early Registration Fee: (due to your instructor no later than March 21, 2008)

_____  $10 Applies to each competitor

 _____ $15 is the late registration fee if received after March 21, 2008 .

 Please make cheques payable to Bayridge Public School

Parent/Guardian Agreement:

“I understand that my child will need to be supervised during the competition. Either my child’s Coach or myself will assume this responsibility. By signing this registration: 1)1 am granting the World Sport Stacking Association, Speed Stacks, Inc., and their affiliates permission to film and record my child’s likeness, appearance, image, name and/or voice in any media. Such film and/or recordings may be so used for promotional, broadcast, or other purposes, worldwide, in perpetuity, 2) I verify that the stacker’s date of birth is accurate, 3) 1 verify that the stacker resides in the State/Province/Country stated above. The consideration I am to receive for my granting such rights is the right for my child to participate in the Limestone Sport Stacking Championship.”

 Signed     ____________________________ Date: _____________________________
 

Name

Name
No Qualifying Times Required
Times to Shoot For!!!!
3-6-3 Times
Ages 6-7          9.00 Seconds or faster
Ages 8-9          7.00 Seconds or faster
Ages 18-18       5.00 Seconds or faster

Canteen Available
LIMITED SUPPLY OF CHAMPIONSHIP T-SHIRT WILL BE ON SALE FOR $15.00
AWARDS WILL BE GIVEN OUT FOR THE TOP THREE IN EACH CATEGORY AND FOR THE TOP THREE RELAY TEAMS FOR EACH AGE CATEGORY.: