Declaration Form

APPENDIX H

1997 NCAA DIVISION III MEN'S AND WOMEN'S NATIONAL CROSS COUNTRY CHAMPIONSHIPS

DECLARATION FORM

(Please print or type on all parts of this form)

Institution:

Region:

Coach:

Email Address:

Coach's Work Phone:Coach's Home Phone:

Men's Entry Women's Entry Team Entry Individual Entry

I am declaring the following individuals (up to 10) for participation in the 1997 NCAA Division III Men's and

Women's Cross Country Championship I understand this declaration is final and subject to the policies outlined

in the 1997 National Collegiate Cross Country Championships Handbook.

Name

Year in School (check one)

1.Fr. So. Jr. Sr.

2.Fr. So. Jr. Sr.

3. Fr. So. Jr. Sr.

4. Fr. So. Jr. Sr.

5. Fr. So. Jr. Sr.

6. Fr. So. Jr. Sr.

7. Fr. So. Jr. Sr.

8. Fr. So. Jr. Sr.

9. Fr. So. Jr. Sr.

10.Fr. So. Jr. Sr.

BANQUET INFORMATION

Number attending coaches' banquet: One coach will be provided a ticket per team, additional tickets will be $15.00 each

Number attending athletes' banquet: One ticket for each qualified athlete, additional tickets will be $15.00 each

Note: If you coach both men and women, please indicate the number of coaches attending the coaches' banquet on only ONE declaration form.

Coach making declaration: Date:

THIS FORM MUST BE RECEIVED BY NATIONAL SITE BY 5 P.M. EASTERN, SUNDAY, NOVEMBER 16.