360 Minutes @
Muscatatuck Entry Form 2008
ENTRY FEES per
person
Team: $35 … after June 27: $45
Solo: $40… after June 27: $50
ALL RUNNERS MUST
SIGN A LIABILITY RELEASE FORM AT THE RACE VENUE. No refunds.
Mail entry with
check payable to: DINO
Or register online
at www.active.com
DIVISION (Circle one):
Team: 2Coed,
2Male, 2Women, 2Masters, 4Coed, 4Male, 4Women, 4Masters, 4HSmale, 4HSfemale,
4HScoed
Solo: Male, Female, Masters Male, Masters
Female
NUMBER OF RUNNERS ON
TEAM: __
Mail all team
members’ entry forms together. Enter the same team name in TEAM/SPONSOR blank
below.
TEAM NAME: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
AGE: _____ SEX:
M__ F__
LAST NAME: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
FIRST NAME: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
STREET ADDRESS: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
CITY:
ZIP: |__|__|__|__|__| PHONE#: (____)|__|__|__-__|__|__|__|
E-MAIL: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
T-SHIRT SIZE:
S___ M___ L___ XL___
Extra meals for spectator(s) $8 each. Indicate quantity: ___
EMERGENCY CONTACT
INFO:
NAME: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
PHONE#: (____)|__|__|__-__|__|__|__|
or SPECTATOR AT THE EVENT ___
OPTIONAL:
TEAM/SPONSOR: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
OCCUPATION: _______________ TIDBIT
ABOUT YOURSELF: _____________________________