2022 CMA CROSS COUNTRY CHAMPIONSHIPS MASTERS CLUB TEAM DECLARATION

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Club Teams must be declared by each Club before the deadline of 7:00 pm ET, on Thursday, November 24, 2022. Each Club recognized by Athletics Canada may declare one Team per 10-year Team Age Category.

A separate Declaration must be done for each Team. For details, refer to “Masters Club Team Awards” in the

Race Information Package on the CMA web site:
www.canadianmasters.ca/cma-events/category/cross-country

CLUB TEAM NAME *

WHAT GENDER IS YOUR TEAM *

COACH/CONTACT NAME
*

TELEPHONE (PRIMARY)
*

TELEPHONE (OTHER)

E-MAIL
*

Masters Age Category (please choose one)
*

GENDER
*

TEAM MEMBER #1 (First Name)

TEAM MEMBER #1 (Last Name)

TEAM MEMBER #1 (Age)

TEAM MEMBER #1 (Gender)

TEAM MEMBER #2 (First Name)

TEAM MEMBER #2 (Last Name)

TEAM MEMBER #2 (Age)

TEAM MEMBER #2 (Gender)

TEAM MEMBER #3 (First Name)

TEAM MEMBER #3 (Last Name)

TEAM MEMBER #3 (Age)

TEAM MEMBER #3 (Gender)

TEAM MEMBER #4 (First Name)

TEAM MEMBER #4 (Last Name)

TEAM MEMBER #4 (Age)

TEAM MEMBER #4 (Gender)

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