| Official Entry Form 2010 Mountain Bike Challenge #3 Sunday, March 7, 9am start Granite Beach, Folsom Lake, Granite Bay, CA |
| Last Name: | ______________________ | Street Address: | ___________________________________ | |||
| First Name: | ______________________ | City, State ZIP: | ___________________________________ | |||
| Gender: | Male Female | Phone: | ___________________________________ | |||
| Date of Birth: | ______________________ | Email: | ___________________________________ | |||
| Race Day Age: | ______________________ | Team/Club: | ___________________________________ |
| Category: |
First Timer Junior Novice Sport Single Speed Expert |
| Category: | Before Race Day: | On Race Day: | ||||
| Individual | $40 | $50 | ||||
| Early Bird (before Dec. 1) |
$35 | |||||
| 18 and under | $30 | $40 | ||||
| Early Bird (before Dec. 1) |
$25 | |||||
| MTB Challenge 3-Race Series | $105 | |||||
| MTB Challenge 3-Race Series (18 and under) | $75 | |||||
| Total Body Fitness 5209 Blaze CT. Rocklin, Ca 95677 |
Make checks payable to: TOTAL BODY FITNESS Total Amount Enclosed: $_____________ |