School Name:__________________________________________________________________________
School Steet Address:___________________________________________________________________
City:_____________________________________ State:_______ Zip Code:_______________________
Coach's Name:__________________________________
Coach Telephone: (________)_________-___________ E-Mail__________________________________
Team Name__________________________________ JROTC? yes____ no____
Team Class? HS Varsity____ HS Junior Varsity____ Middle School____
Names of Team Members: 3 M__ F__ ____________________________
1 M__ F__ __________________________ 4 M__ F__ ____________________________
2 M__ F__ __________________________
5 M__ F__ ____________________________
Eligibility Certification
This certification must be signed by a school official / teacher accompanying
the team. If no school official/teacher is attending the event, the
official team coach may sign on behalf of the school.
I hereby certify that the team members entered in the 2003 U.S. Interscholastic
Orienteering Championship from the above named school meet the criteria
set forth in the USOF Rules of Competition, including:
1. All members of the team are currently enrolled
in the above-named school.
School Official's
Print Name____________________________________
Title_____________________________
2. for Varsity Teams: Are full-time high school students,
9th - 12th grade, and age 19 years or younger as of 12/31/2004.
3. for Junior Varsity Teams: Are full-time high school
students, 9th - 12th grade, and age 17 years or younger as of 12/31/2004.
4. for Middle School Teams: Are full-time students,
9th grade or below, and age 16 years or younger as of 12/31/2004.
5. for JROTC Teams: Are enrolled in the same JROTC
unit per the most current Unit Enrollment Report.
6. All team members are USOF members in good standing.
Signature______________________________________
Date____________________________
Be sure that you have:
clearly printed all infomation,
enclosed individual entry forms with signed waivers,
enclosed a check payable to "Orienteering Cincinnati" or "OCIN"
and mailed to: Vince Hand, 511 East Chestnut St, Oxford, OH 45056
Questions? E-mail the registrar at PigReg@ocin.org
Flying Pig VIII - U.S. Interscholastic Championship 2004 Page
updated 1250 12/05/2003