Jackson 2000
USSA Junior Olympics
National Cross-Country Ski Championships

OFFICIAL PARTICIPANT ENTRY FORM

Competitor
Coach
Support Staff/Coach’s Assistant

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• Entry and Fees for the Jackson 2000 Junior Olympics must be received prior to February 24, 2000.
• The entry fee for competitions is $125 per skier. The fee covers your participation in the event, a memento of the Junior Olympics, admission to the opening reception, awards ceremony, final banquet and other social events.
• Coach credentials are available to registered coaches within the limits of USSA rule 075.1 – 075.6.7
• Support Staff credentials are available per 075.7. Fee: tbd
• Please fill out and email or mail the form to: info@jacksonxc.com or

Jackson 2000 Race Entry
PO Box 216
Jackson, NH 03846-0216

1-603-383-9355

ATHLETE INFORMATION

Name:

Mailing Address:

 

Date of Birth:

Division/District:

Club/School:

USSA#:

Class:

Gender:

Coach:

Coach’s Telephone #:

NEWSPAPER INFO

Home Town Newspaper:

Mailing Address:

Phone:

Fax:

Email Address:

 

COACH ACCREDITATION APPLICATION

Name

Mailing Address:

 

Phone:

Fax:

Email Address:

Division/District:

USSA#:

Gender:

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SUPPORT STAFF/COACHES ASSISTANT ACCREDITATION APPLICATION

Name

Mailing Address:

 

Phone:

Fax:

Email Address:

Division/District:

USSA#:

Gender:

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