Meet Information
KTCCCA Indoor State Track & Field Championships
March 4, 2017
Mason County Indoor Athletic Complex
725 Clarks Run Rd
Maysville, Kentucky 41056
Note: Due to cancellation of the Mason-Dixon Games, the KTCCCA will again host an indoor state championship. Proceeds from this meet will be earmarked for assistance in re-establishing the Mason-Dixon Games in 2018.
ENTRIES; All entries will be done online at http://ky.milesplit.com/meets/260548/info#.WHgWT4WcEpA
NOTE: Remember individuals may not participate in more than 4 events.
Performances for 3000 entries and 4x800 relay must have been achieved between January 1 and February 26, 2017 Performances must be verifiable on www.kytrackxc.com Performances are base on 3000 meter time or equivalent(3200, 2 Mile, etc will be converted). Notification of qualifiers will be emailed & posted February 27.
RELAYS : We realize that names will change on meet day but do the best you can at
getting your names right. Make sure you have anyone who might compete listed as an
alternate on the relays. You may list 8 on the relay entry.
ENTRY FEES: This meet will not have a separate fee for the individual entries.
One athlete could win this meet if they are talented enough, therefore they must pay the
full team entry fee. A boys team entry is $75.00 if received by the entry deadline, if late the
entry fee is $100.00. A girls team entry is $75.00 if received by the entry deadline, if late the
entry fee is $100.00. Entry fee must be received by March 2. Checks delivered on meet
day will be considered late. Get your entry fees in NOW.
A slow bookkeeper is not an excuse.
Along with the entry fee, all coaches that enter the meet must be a current (2016-2017) member of the
Kentucky Track and Cross Country Coaches Association. A membership form is included. If in doubt, contact Teejayking@gmail.com
Please Do Not Send Cash: Make checks for entry fees to: KTCCCA
Mail to: Tim King 1106 Sycamore St. Falmouth KY 41040
Events Middle School (5th grade & above only) 55, 1600, 400, 800, 4x400 Relay, Long Jump, Shot Put
Unlimited entries in all events except in the long jump(limit of two entries), one relay team
Events High School Class A, Class AA, Class AAA 4x800 Relay, 55 Hurdles, 55, 1600, 400, 800, 3000, 4x400 Relay, Long Jump, Triple Jump, High Jump, Shot Put, Pole Vault(Note pole vault contested on February 26 @ Kentucky Elite Athletics Shelbyville.
Unlimited entries 55H, 55, 1600, 400, 800, shot put, pole vault,
limit of two entries long jump, high jump, triple jump, 1 relay team
Events Masters & Open 55H, 55, 1600, 400, 800, long jump, triple jump, high jump, pole vault
MEET TIME SCHEDULE IS AS FOLLOWS
Remember we will be on a Rolling Schedule
March 4, 2017
Class A, Middle School, & Masters & Open
9:00 Class A & Middle School & Masters/Open
Girls will go first in all the running events
3200 Meter Relay HS Boys & Girls Combined
55 Meter High Hurdles (BLOCKS REQUIRED) HS Girls, HS boys Masters/Open
55 Meter Dash (BLOCKS REQUIRED) MS girls, HS girls, MS boys, HS boys, Masters/Open
1600 Meter Run MS girls, HS girls, MS boys, HS boys, Masters Open
400 Meter Dash(NO BLOCKS) MS Girls, followed by HS girls, MS boys, HS boys, Masters Open
800 Meter Dash MS girls, High school girls, MS boys, HS boys, Masters Open
3000 Meter Run HS Girls & Boys combined
(22.5 laps, coaches will need to record running time for each lap
1600 Meter Relay(NO BLOCKS) MS girls, HS girls, MS boys, HS boys
1500 Racewalk(Masters/Open)
Girls & Boys Triple Jump (Open Pit 9:0010:00
Girls Long Jump (Open pit 10:00-11:30 MS, HS, Masters) followed by Boys Long Jump (Open Pit 11:30-1:00 MS, HS, Masters)
Shot Put HS Girls (9:00), HS boys, MS girls, MS boys, master/open
Boys High Jump (9:00) (starting height 5-2) followed by girls high jump(starting height 4-2) followed by
masters/open
(Pole Vault February 26 @ Kentucky Elite Athletics, 327 Bonniemere Rd Shelbyville)
Each athlete receives 3 throws/jumps with no finals.
CLASS AA & CLASS AAA
3:00 Class AA & AAA Saturday March 4
3200 Meter Relay AA & AAA girls combined, AA & AAA boys combined
55 Meter High Hurdles (BLOCKS REQUIRED) AA girls, AAA girls, AA boys, AAA boys
55 Meter Dash (BLOCKS REQUIRED) AA girls, AAA girls, AA boys, AAA boys
1600 Meter Run AA girls, AAA girls, AA boys, AAA boys
400 Meter Dash(NO BLOCKS) AA girls, AAA girls, AA boys, AAA boys
800 Meter Dash AA girls, AAA girls, AA boys, AAA boys
3000 Meter Run (22.5 laps, coaches will need to record running time for each lap)
1600 Meter Relay(NO BLOCKS) AA girls, AAA girls, AA boys, AAA boys
Girls & Boys Triple Jump AA & AAA (Open Pit 3:00-4:00)
Girls Long Jump AA & AAA (Open pit 4:00-5:00) followed by AA & AAA Boys Long Jump (Open Pit 5:00-6:00)
Shot Put(3:00) AA Girls, AAA Girls, AA Boys, AAA boys
High Jump(3:00) AA & AAA boys combined (starting height 5-2) followed by girls AA & AAA combined high jump(starting height 4-2)
Each athlete receives 3 throws/jumps with no finals.
(Pole Vault February 26 @ Kentucky Elite Athletics, 327 Bonniemere Rd Shelbyville)
Pole Vault Sunday February 26-Kentucky Elite Athletics
2017 Kentucky USATF Masters/Open Pole Vault-KTCCCA Class A, AA, AAA Indoor Championships
From Lexington:
Take Exit 43 Ky 395, turn right, go 1.7 miles to Rt. 60, go 5.5 miles, turn right on Bonniemere. Go .2 miles
From Louisville
Take Exit 35, KY 53, turn left, go 2.0 miles to Rt. 60, turn right, go 5.5 miles, turn left on Bonniemere, Go .2 miles.
10:00 AM Masters/Open
1:30 High School Girls Class A, AA, AAA will vault together, scored separately March 4 in the team championships opening height 6-0
3:30 High School Boys Class A, AA, AAA will vault together, scored separately March 4 in the team championships opening height 9-0
Please note: athletes can vault only in one division. They cannot vault both the open and the high school division. USATF memberships are required for the open/masters division.
Coach and/or school representative must be present for athletes to compete in the high school division.
Limited seating is available. You may want to bring you own lawn chair. Admission will be $5.00
ENTRIES: All high school and middle school entries will be done online at http://ky.milesplit.com/meets/260548/info#.WHgWT4WcEpA . Masters-Open entries will be paper entries. See entry form below.
Please acquaint yourself with the milesplit online procedures. Entries must be entered
By February 28/
Awards: Team awards will be presented to the top 2 teams and will be presented as soon as possible
at the end of each division. Individual awards will be medals for the top 3 places and
ribbons for the next 5 places. Only the top two per team will score.
Scoring: 10 8 6 5 4 3 2 1
General Information: General Admission $5.00 per person
MOTELS
Quality Inn 606-759-5696 1 mile from the track
1428 A U.S. Hwy 68 Maysville, KY 41056
Indoor heated pool & spa, complimentary deluxe continental breakfast, handicap facilities, free local calls, cable TV with HBO,
free weekday copy of USA Today, free parking, bus parking.
Days Inn 606-564-6793 2 miles from the track
Located behind McDonalds mention indoor track meet rate 484 Moody Drive Maysville, KY 41056
Generous size rooms and suites with plenty of working space, direct-dial phones, meeting rooms, cable TV, outdoor pool and
tennis court.
French Quarter 606-564-8000 3 miles from the track
25 East McDonald Parkway Maysville, KY 41056 www.FrenchQuarterInn.com
A Southern Taste of Hospitality New Orleans style. Spacious suites with executive desks. Each room features over-sized deep
whirlpool tub. Meeting room, full service restaurant, and outdoor pool.
Hampton Inn 606-759-0600 1 mile from the track
503 Market Place Drive Maysville, KY 41056 www.hamptoninn_hilton.com
62 Rooms, King & Jacuzzi Suites. Indoor Pool, Business Center, Exercise Room, Hot Breakfast.
Super 8 Motel 606-759-8888 1 mile from the track
550 Tucker Drive Maysville, KY 41056 www.super8.com
Whether for business or pleasure, the award winning Maysville Super 8 Motel offers 44 rooms and two suites. Complimentary
continental breakfast, microfridges, computer available in lobby, dataport phones, large truck parking.
MASTERS & OPEN ENTRY FORM
Kentucky USATF Indoor Championships
March 4, 2017
Mason County Indoor Athletic Complex, 725 Clarks Run Rd Maysville, Kentucky
(Pole Vault February 26 @ Kentucky Elite Athletics, 327 Bonniemere Rd Shelbyville)
Name_____________________ Sex M F 2017 USATF #_________________________
Email address___________________________ Birthdate (Month, day, year)_________________
Contact Patty Rouse Prouse23@windstream.net to see if your age has previously been verified or for more information on USA Track & Field membership as well as club membership.
Events (circle maximum of four) 55H 55 dash 1600 400 800 200 Shot Put High Jump Long Jump Triple Jump, 1500 Racewalk. Pole Vault (to be held Sunday, February 26 at Kentucky Elite Athletics, Shelbyville)
Athletes Release: In consideration of your acceptance of my entry into the Kentucky USATF Track & Field Indoor Championships, I voluntarily agree to participate in the KTCCCA Indoor Championships and knowingly assume any and all risk of loss, damage, property loss, injury (including death), both foreseen and unforeseen, of my attendance at and participation in the Kentucky USATF Indoor Championships from any cause whatsoever. I, for myself, my heirs, personal representatives and assigns do hereby release, waive, discharge and covenant not to sue USA Track & Field, Inc., the Kentucky USATF Association, Mason County High School, Kentucky Track & Cross Country Coaches Association and the Mason County Board of Education in which the Kentucky USATF Indoor Championships are held (collectively Releases) from all liability, loss, claims, demands, possible causes of action, court costs, settlement costs and fees, attorneys fees and any other expenses arising from any claim or lawsuit that may arise from any loss, damage or injury (including death) to me or my property resulting from or arising in connection with, or related to, my attendance at or participation in the Championships. I/we grant permission to the Meet Directors or their designee or the assigned Chaperones of any USA Track & Field competition or program to act as guardian/spokesman with full authorization and power to authorize emergency medical treatment, including hospitalization and anesthesia, if medically necessary, for me while in route to/from or at the site of the KTCCCA Indoor Championships, competition or program. I/we understand that should a health emergency arise, I/we will be notified but if/we cannot be reached by phone such medical treatment as is deemed necessary by medical personnel under the circumstances presented is hereby expressly authorized.
_________________________________________________ ________________________________________________________
Signature - ATHLETE Signature - PARENT / GUARDIAN
(Must be signed if athlete is under 18 years of age.)
Telephone: (_________)_____________________________
List allergies and current medications: ________________________________________________
NOTE-Entry Deadline February 28. Pole Vault deadline February 21. Entry fee $20 per athlete pre-registered, $30 race day fee. Kentucky USATF Indoor Championships Mail to KTCCCA c/o Frank Miklavcic 319 Erin Way Frankfort, Ky 40601
KENTUCKY TRACK AND CROSS-COUNTRY COACHES ASSOCIATION
www.ktccca.org
www.ktccca.weebly.com
2016-2017
Membership Application
Name:
School:
Address:
Phone:
E-Mail:
Birthdate: Month, date, year)
YEARLY MEMBERSHIP DUES FOR 2016 2017 (Aug 1, 2016-July 31, 2017)
$50.00 flat fee
(Mail Membership to: Tim King, 1106 Sycamore St. Falmouth KY 41040)
KTCCCA Membership required for KTCCCA Coach of the Year consideration, for teams participation in Meet of Champions, Indoor State Championship, and Middle School State Championships
The coaching clinic in January will be included in the membership
Membership includes 2017 Subscription to KYTRACKXC.COM and USATF Membership if wanted. Check if you want them:
__KY Milesplit
___ USATF Membership
What is your position at your school?
Boys Cross Country Coach __________ Girls Cross-Country Coach __________
Boys Cross-Country Assistant __________ Girls Cross-Country Assistant __________
Mens College Cross-Country Coach _____ Womens Cross-Country Coach _____
Mens Cross-Country Assistant _____ Womens Cross-Country Assistant _____
Boys Track and Field Coach __________ Girls Track and Field Coach __________
Boys Track and Field Assistant _____ Girls Track and Field Assistant _____
Mens College Track and Field Coach _____ Womens Track and Field Coach _____
Mens College Track and Field Assistant _____ Womens College Track and Field Assistant______
Cross-Country and Track Officials
USATF Official Number
# KHSAA Official Number
#
The Kentucky Track and Cross-Country Coaches Association holds the following meets as fundraisers.
We need help with these meets.
This is how we pay for all the free stuff and equipment bought.
1. Meet of Champions October 22, 2016 Lexington
2.. CCCNYC November 19, 2016 Evansville IN
3. Middle School State Track Meet June 3 Louisville
4. Elementary State Track Meet May 27 North Oldham HS
March 4, 2017
Mason County Indoor Athletic Complex
725 Clarks Run Rd
Maysville, Kentucky 41056
Note: Due to cancellation of the Mason-Dixon Games, the KTCCCA will again host an indoor state championship. Proceeds from this meet will be earmarked for assistance in re-establishing the Mason-Dixon Games in 2018.
ENTRIES; All entries will be done online at http://ky.milesplit.com/meets/260548/info#.WHgWT4WcEpA
NOTE: Remember individuals may not participate in more than 4 events.
Performances for 3000 entries and 4x800 relay must have been achieved between January 1 and February 26, 2017 Performances must be verifiable on www.kytrackxc.com Performances are base on 3000 meter time or equivalent(3200, 2 Mile, etc will be converted). Notification of qualifiers will be emailed & posted February 27.
RELAYS : We realize that names will change on meet day but do the best you can at
getting your names right. Make sure you have anyone who might compete listed as an
alternate on the relays. You may list 8 on the relay entry.
ENTRY FEES: This meet will not have a separate fee for the individual entries.
One athlete could win this meet if they are talented enough, therefore they must pay the
full team entry fee. A boys team entry is $75.00 if received by the entry deadline, if late the
entry fee is $100.00. A girls team entry is $75.00 if received by the entry deadline, if late the
entry fee is $100.00. Entry fee must be received by March 2. Checks delivered on meet
day will be considered late. Get your entry fees in NOW.
A slow bookkeeper is not an excuse.
Along with the entry fee, all coaches that enter the meet must be a current (2016-2017) member of the
Kentucky Track and Cross Country Coaches Association. A membership form is included. If in doubt, contact Teejayking@gmail.com
Please Do Not Send Cash: Make checks for entry fees to: KTCCCA
Mail to: Tim King 1106 Sycamore St. Falmouth KY 41040
Events Middle School (5th grade & above only) 55, 1600, 400, 800, 4x400 Relay, Long Jump, Shot Put
Unlimited entries in all events except in the long jump(limit of two entries), one relay team
Events High School Class A, Class AA, Class AAA 4x800 Relay, 55 Hurdles, 55, 1600, 400, 800, 3000, 4x400 Relay, Long Jump, Triple Jump, High Jump, Shot Put, Pole Vault(Note pole vault contested on February 26 @ Kentucky Elite Athletics Shelbyville.
Unlimited entries 55H, 55, 1600, 400, 800, shot put, pole vault,
limit of two entries long jump, high jump, triple jump, 1 relay team
Events Masters & Open 55H, 55, 1600, 400, 800, long jump, triple jump, high jump, pole vault
MEET TIME SCHEDULE IS AS FOLLOWS
Remember we will be on a Rolling Schedule
March 4, 2017
Class A, Middle School, & Masters & Open
9:00 Class A & Middle School & Masters/Open
Girls will go first in all the running events
3200 Meter Relay HS Boys & Girls Combined
55 Meter High Hurdles (BLOCKS REQUIRED) HS Girls, HS boys Masters/Open
55 Meter Dash (BLOCKS REQUIRED) MS girls, HS girls, MS boys, HS boys, Masters/Open
1600 Meter Run MS girls, HS girls, MS boys, HS boys, Masters Open
400 Meter Dash(NO BLOCKS) MS Girls, followed by HS girls, MS boys, HS boys, Masters Open
800 Meter Dash MS girls, High school girls, MS boys, HS boys, Masters Open
3000 Meter Run HS Girls & Boys combined
(22.5 laps, coaches will need to record running time for each lap
1600 Meter Relay(NO BLOCKS) MS girls, HS girls, MS boys, HS boys
1500 Racewalk(Masters/Open)
Girls & Boys Triple Jump (Open Pit 9:0010:00
Girls Long Jump (Open pit 10:00-11:30 MS, HS, Masters) followed by Boys Long Jump (Open Pit 11:30-1:00 MS, HS, Masters)
Shot Put HS Girls (9:00), HS boys, MS girls, MS boys, master/open
Boys High Jump (9:00) (starting height 5-2) followed by girls high jump(starting height 4-2) followed by
masters/open
(Pole Vault February 26 @ Kentucky Elite Athletics, 327 Bonniemere Rd Shelbyville)
Each athlete receives 3 throws/jumps with no finals.
CLASS AA & CLASS AAA
3:00 Class AA & AAA Saturday March 4
3200 Meter Relay AA & AAA girls combined, AA & AAA boys combined
55 Meter High Hurdles (BLOCKS REQUIRED) AA girls, AAA girls, AA boys, AAA boys
55 Meter Dash (BLOCKS REQUIRED) AA girls, AAA girls, AA boys, AAA boys
1600 Meter Run AA girls, AAA girls, AA boys, AAA boys
400 Meter Dash(NO BLOCKS) AA girls, AAA girls, AA boys, AAA boys
800 Meter Dash AA girls, AAA girls, AA boys, AAA boys
3000 Meter Run (22.5 laps, coaches will need to record running time for each lap)
1600 Meter Relay(NO BLOCKS) AA girls, AAA girls, AA boys, AAA boys
Girls & Boys Triple Jump AA & AAA (Open Pit 3:00-4:00)
Girls Long Jump AA & AAA (Open pit 4:00-5:00) followed by AA & AAA Boys Long Jump (Open Pit 5:00-6:00)
Shot Put(3:00) AA Girls, AAA Girls, AA Boys, AAA boys
High Jump(3:00) AA & AAA boys combined (starting height 5-2) followed by girls AA & AAA combined high jump(starting height 4-2)
Each athlete receives 3 throws/jumps with no finals.
(Pole Vault February 26 @ Kentucky Elite Athletics, 327 Bonniemere Rd Shelbyville)
Pole Vault Sunday February 26-Kentucky Elite Athletics
2017 Kentucky USATF Masters/Open Pole Vault-KTCCCA Class A, AA, AAA Indoor Championships
From Lexington:
Take Exit 43 Ky 395, turn right, go 1.7 miles to Rt. 60, go 5.5 miles, turn right on Bonniemere. Go .2 miles
From Louisville
Take Exit 35, KY 53, turn left, go 2.0 miles to Rt. 60, turn right, go 5.5 miles, turn left on Bonniemere, Go .2 miles.
10:00 AM Masters/Open
1:30 High School Girls Class A, AA, AAA will vault together, scored separately March 4 in the team championships opening height 6-0
3:30 High School Boys Class A, AA, AAA will vault together, scored separately March 4 in the team championships opening height 9-0
Please note: athletes can vault only in one division. They cannot vault both the open and the high school division. USATF memberships are required for the open/masters division.
Coach and/or school representative must be present for athletes to compete in the high school division.
Limited seating is available. You may want to bring you own lawn chair. Admission will be $5.00
ENTRIES: All high school and middle school entries will be done online at http://ky.milesplit.com/meets/260548/info#.WHgWT4WcEpA . Masters-Open entries will be paper entries. See entry form below.
Please acquaint yourself with the milesplit online procedures. Entries must be entered
By February 28/
Awards: Team awards will be presented to the top 2 teams and will be presented as soon as possible
at the end of each division. Individual awards will be medals for the top 3 places and
ribbons for the next 5 places. Only the top two per team will score.
Scoring: 10 8 6 5 4 3 2 1
General Information: General Admission $5.00 per person
MOTELS
Quality Inn 606-759-5696 1 mile from the track
1428 A U.S. Hwy 68 Maysville, KY 41056
Indoor heated pool & spa, complimentary deluxe continental breakfast, handicap facilities, free local calls, cable TV with HBO,
free weekday copy of USA Today, free parking, bus parking.
Days Inn 606-564-6793 2 miles from the track
Located behind McDonalds mention indoor track meet rate 484 Moody Drive Maysville, KY 41056
Generous size rooms and suites with plenty of working space, direct-dial phones, meeting rooms, cable TV, outdoor pool and
tennis court.
French Quarter 606-564-8000 3 miles from the track
25 East McDonald Parkway Maysville, KY 41056 www.FrenchQuarterInn.com
A Southern Taste of Hospitality New Orleans style. Spacious suites with executive desks. Each room features over-sized deep
whirlpool tub. Meeting room, full service restaurant, and outdoor pool.
Hampton Inn 606-759-0600 1 mile from the track
503 Market Place Drive Maysville, KY 41056 www.hamptoninn_hilton.com
62 Rooms, King & Jacuzzi Suites. Indoor Pool, Business Center, Exercise Room, Hot Breakfast.
Super 8 Motel 606-759-8888 1 mile from the track
550 Tucker Drive Maysville, KY 41056 www.super8.com
Whether for business or pleasure, the award winning Maysville Super 8 Motel offers 44 rooms and two suites. Complimentary
continental breakfast, microfridges, computer available in lobby, dataport phones, large truck parking.
MASTERS & OPEN ENTRY FORM
Kentucky USATF Indoor Championships
March 4, 2017
Mason County Indoor Athletic Complex, 725 Clarks Run Rd Maysville, Kentucky
(Pole Vault February 26 @ Kentucky Elite Athletics, 327 Bonniemere Rd Shelbyville)
Name_____________________ Sex M F 2017 USATF #_________________________
Email address___________________________ Birthdate (Month, day, year)_________________
Contact Patty Rouse Prouse23@windstream.net to see if your age has previously been verified or for more information on USA Track & Field membership as well as club membership.
Events (circle maximum of four) 55H 55 dash 1600 400 800 200 Shot Put High Jump Long Jump Triple Jump, 1500 Racewalk. Pole Vault (to be held Sunday, February 26 at Kentucky Elite Athletics, Shelbyville)
Athletes Release: In consideration of your acceptance of my entry into the Kentucky USATF Track & Field Indoor Championships, I voluntarily agree to participate in the KTCCCA Indoor Championships and knowingly assume any and all risk of loss, damage, property loss, injury (including death), both foreseen and unforeseen, of my attendance at and participation in the Kentucky USATF Indoor Championships from any cause whatsoever. I, for myself, my heirs, personal representatives and assigns do hereby release, waive, discharge and covenant not to sue USA Track & Field, Inc., the Kentucky USATF Association, Mason County High School, Kentucky Track & Cross Country Coaches Association and the Mason County Board of Education in which the Kentucky USATF Indoor Championships are held (collectively Releases) from all liability, loss, claims, demands, possible causes of action, court costs, settlement costs and fees, attorneys fees and any other expenses arising from any claim or lawsuit that may arise from any loss, damage or injury (including death) to me or my property resulting from or arising in connection with, or related to, my attendance at or participation in the Championships. I/we grant permission to the Meet Directors or their designee or the assigned Chaperones of any USA Track & Field competition or program to act as guardian/spokesman with full authorization and power to authorize emergency medical treatment, including hospitalization and anesthesia, if medically necessary, for me while in route to/from or at the site of the KTCCCA Indoor Championships, competition or program. I/we understand that should a health emergency arise, I/we will be notified but if/we cannot be reached by phone such medical treatment as is deemed necessary by medical personnel under the circumstances presented is hereby expressly authorized.
_________________________________________________ ________________________________________________________
Signature - ATHLETE Signature - PARENT / GUARDIAN
(Must be signed if athlete is under 18 years of age.)
Telephone: (_________)_____________________________
List allergies and current medications: ________________________________________________
NOTE-Entry Deadline February 28. Pole Vault deadline February 21. Entry fee $20 per athlete pre-registered, $30 race day fee. Kentucky USATF Indoor Championships Mail to KTCCCA c/o Frank Miklavcic 319 Erin Way Frankfort, Ky 40601
KENTUCKY TRACK AND CROSS-COUNTRY COACHES ASSOCIATION
www.ktccca.org
www.ktccca.weebly.com
2016-2017
Membership Application
Name:
School:
Address:
Phone:
E-Mail:
Birthdate: Month, date, year)
YEARLY MEMBERSHIP DUES FOR 2016 2017 (Aug 1, 2016-July 31, 2017)
$50.00 flat fee
(Mail Membership to: Tim King, 1106 Sycamore St. Falmouth KY 41040)
KTCCCA Membership required for KTCCCA Coach of the Year consideration, for teams participation in Meet of Champions, Indoor State Championship, and Middle School State Championships
The coaching clinic in January will be included in the membership
Membership includes 2017 Subscription to KYTRACKXC.COM and USATF Membership if wanted. Check if you want them:
__KY Milesplit
___ USATF Membership
What is your position at your school?
Boys Cross Country Coach __________ Girls Cross-Country Coach __________
Boys Cross-Country Assistant __________ Girls Cross-Country Assistant __________
Mens College Cross-Country Coach _____ Womens Cross-Country Coach _____
Mens Cross-Country Assistant _____ Womens Cross-Country Assistant _____
Boys Track and Field Coach __________ Girls Track and Field Coach __________
Boys Track and Field Assistant _____ Girls Track and Field Assistant _____
Mens College Track and Field Coach _____ Womens Track and Field Coach _____
Mens College Track and Field Assistant _____ Womens College Track and Field Assistant______
Cross-Country and Track Officials
USATF Official Number
# KHSAA Official Number
#
The Kentucky Track and Cross-Country Coaches Association holds the following meets as fundraisers.
We need help with these meets.
This is how we pay for all the free stuff and equipment bought.
1. Meet of Champions October 22, 2016 Lexington
2.. CCCNYC November 19, 2016 Evansville IN
3. Middle School State Track Meet June 3 Louisville
4. Elementary State Track Meet May 27 North Oldham HS