The Burke Rehabilitation Hospital Wheelchair Games App 2006 Page 4
2006 Burke Wheelchair Games
Sponsored by The Burke Rehabilitation Hospital
Co-Sponsored by the Tri-State Wheelchair Athletic Association
and The National Disabled Sports Alliance
Saturday, September 30, 2006
NDSA JUNIOR ATHLETE REGISTRATION FORM
(page 2)
Last Name: ______________________First Name: ___________________ Pre-Registration No.______
Class 5A
Class 5B
Class 6
Class 7
Class 8
Event
A B C D A B C D A B C D A B C D A B
C
D
20 Meter Dash
40 Meter Dash
60 Meter Dash
100 Meter
200 Meter
400 Meter
800 Meter
1500 Meter
Precision Throw
Soft Discus
Softball Throw
Club Throw
Shotput (Male)
2kg 3kg 4kg
2kg 3kg 4kg
2kg 3kg 4kg
3kg 4kg 4kg
3kg 4kg
4kg
Shotput (Female)
2kg 3kg 3kg
2kg 3kg 3kg
2kg 3kg 3kg
3kg 3kg 3kg
3kg
3kg
3kg
Discus
Javelin
B. TABLE TENNIS
LIST CLASS (TT1 TT8)______________
C. SLALOM
NDSA JUNIOR REGISTRATION FORM
Wheelchair Games - 2006
The Burke Rehabilitation Hospital
785 Mamaroneck Avenue
White Plains, New York 10605
