**THE SIXTH ANNUAL**

**NATIONAL POLICE CHALLENGE**

**50-KILOMETER RELAY**

## MAY 13, 2005

#### APPLICATION

> Number of personnel in Office/Division/Station:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> RACE CATEGORY: (SELECT ONE)
>
> OPEN \-- Runners are any age, any gender, and from any agency
>
> MIXED -- Minimum 3 female runners on team
>
> WOMEN -- all 10 runners are female
>
> 400 -- Ages of runners totals 400 or more
>
> OPEN -- SWORN -- Runners are sworn peace officers from any agency
>
> 250 -- SWORN -- Runners are sworn peace officers from agencies w/less
>
> than 250 sworn personnel.

**REGISTRATION FEE = \$500.00**

PLEASE ENCLOSE [ONE]{.underline} CHECK OR MONEY ORDER IN THE AMOUNT OF
\$500.00 PAYABLE TO: **"NPC-50"**

> MAIL TO: USSS-ERA (NPC-50) P.O. BOX 710333; OAK HILL, VA 20171-0333

**APPLICATION DEADLINE: APRIL 1, 2005**

APPLICATIONS RECEIVED AFTER APRIL 4th - \$550 REGISTRATION FEE \*\*NO
EXCEPTIONS\*\*

**SAMPLE**

## CONFIRMATION OF ASSIGNMENT

(due April 22)

(AGENCY OR DEPARTMENT LETTERHEAD)

NPC-50 Race Committee

c/o U.S. Secret Service Employee Recreation Association

P.O. Box 710333

Oak Hill, VA 20171-0333

To Whom It May Concern:

The following twelve NPC-50 runners and alternates have been assigned to
(division name) since February 15, 2005 and will remain so assigned
through May 13, 2005:

1\.

2\.

3\.

4\.

5\.

6\.

7\.

8\.

9\.

10\.

11\.

12\.

Signed,

(Name)

(Title)

**NPC-50**

RUN PLAN

##  

##  

Division: OPEN MIXED WOMEN 400\* OPEN-SWORN 250-SWORN (circle one) (note
DOB)

+------+----------------------------+----------+----------+----------+
| #    | NAME (last, first)         | # GENDER | # DOB\*  | #        |
|  LEG |                            |          |          |  RACE \# |
|      |                            | (M/F)    | 400      |          |
|      |                            |          | Division | (        |
|      |                            |          | only     | official |
|      |                            |          |          | use)     |
+------+----------------------------+----------+----------+----------+
| 1\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 2\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 3\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 4\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 5\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 6\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 7\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 8\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 9\.  |                            |          |          |          |
+------+----------------------------+----------+----------+----------+
| 10\. |                            |          |          |          |
+------+----------------------------+----------+----------+----------+

ALTERNATES:

+----------------------+---------+-------------------------+---------+
| NAME (last, first)   | GENDER  | #                       | #       |
|                      |         | DOB (400 Division only) |         |
+----------------------+---------+-------------------------+---------+
| 1\.                  |         |                         |         |
+----------------------+---------+-------------------------+---------+
| 2\.                  |         |                         |         |
+----------------------+---------+-------------------------+---------+

Each team will receive 12 T-shirts, one for each runner

and alternate. Please note number needed in each size.

##  RUN PLAN 

## PAGE 2 OF 2 

**IF YOUR TEAM WILL RUN IN MEMORY OF A FALLEN OFFICER, PLEASE NOTE THE
OFFICER'S NAME AND DATE OF DEATH**