FAX TO:  Brett Hull, (315)-859-4117 & Jim Nichols (607-274-1667) 

                        NYSCTC CROSS COUNTRY CHAMPIONSHIP

                             INITIAL ENTRY FORM

SCHOOL:_________________________________NICKNAME:_______________________

COACH:_____________________________TELEPHONE:___________________________

EMAIL ADDRESS:___________________________FAX #:_________________________

   NAME (First, Last)	CLASS		    NAME		CLASS

1. ______________________________	16.______________________________

2. ______________________________	17.______________________________

3. ______________________________	18.______________________________

4. ______________________________	19.______________________________

5. ______________________________	20.______________________________

6. ______________________________	21.______________________________

7. ______________________________	22.______________________________

8. ______________________________	23.______________________________

9. ______________________________	24.______________________________

10.______________________________	25.______________________________

11.______________________________	26.______________________________

12.______________________________	27.______________________________

13.______________________________	28.______________________________
		
14.______________________________	29.______________________________

15.______________________________	30.______________________________


I, _________________________________, Athletic Administrator of

 __________________________College (or University) hereby certify that
 the entries herewith are qualified under the rules of the New York State 
 Collegiate Track Conference.