Snake River Canoe Race - Registration Form

Snake River Canoe Race
Registration Form
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Kayak or
Canoe No. _____
Official use only

ONE ENTRY PER CANOE OR KAYAK

Name:______________________________

Address:____________________________

City:_______________________________

State:______________ Zip:_____________

Male: _____ Female:______ Age:________

Email: _____________________________

Name:______________________________

Address:____________________________

City:_______________________________

State:______________ Zip:_____________

Male: _____ Female:______ Age:________

Email: _____________________________

CLASS YOU ARE ENTERING
CLASS: (check one) ______ Pro-Boat(PB) ______ Open Racing (OR) ______ Citizen-Alum. (A-L) ______ Citizen-Non Alum. (M-X) ______ Solo (Y) ______ Kayak (Z)	CATEGORY: (check one) ______ Male ______ Female ______ Mixed	COMBINED AGE GROUP: (check one) ______ 0-50 ______ 51-70 ______ 71-100 ______Over 100

Race results will be available at www.snakerivercanoerace.org.

I am entering this event at my own risk and assume any risk or responsibilities for injury I may incur as a direct or indirect result of participation in this event. I also agree to hold harmless any representatives of the Mora Classic.

Signed: ____________________________	Signed: ____________________________
__________________________________ (Parent or guardian if under 18 years)	__________________________________ (Parent or guardian if under 18 years)

Please print, complete, and mail this Entry Form to:

Snake River Canoe Club
P.O. Box 71
Mora, MN 55051