| Official Entry Form 2010 CLIF Bar MTB Challenge - Mountain Bike Racing Saturday September 25, 10am start 7-mile, 14-mile, and 21-mile courses. Granite Beach, Folsom Lake, Granite Bay, CA Please note: Each Team participant must fill out an entry form. |
| Last Name: | ______________________ | Street Address: | ___________________________________ | |||
| First Name: | ______________________ | City, State ZIP: | ___________________________________ | |||
| Gender: | Male Female | Phone: | ___________________________________ | |||
| Date of Birth: | ______________________ | Email: | ___________________________________ | |||
| Race Day Age: | ______________________ | Team/Club: | ___________________________________ |
| Category: | ||
| Expert Sport Novice Junior |
| Category: | ||
| Until Race Day | $40 | |
| Race Day | $50 | |
| Total Body Fitness 5209 Blaze CT. Rocklin, Ca 95677 |
Make checks payable to: TOTAL BODY FITNESS Total Amount Enclosed: $_____________ |