| Official Entry Form Mountain Bike Kick 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: |
Novice HS Sport HS Expert HS Junior Novice Sport/Single Speed Expert/Pro/Single Speed
Novice
and
Expert/Pro:
20-29
30-39
40-49
50-59
60+ |
| Category: | Before Race Day: | On Race Day: | ||
Adult |
$45 | $55 | ||
| Juniors (under 19 ) | $35 | $45 | ||
| TBF MTB Three Race Special: MTB Kickstart, MTB Classic and MTB Challenge. |
$110 | |||
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| Total Body Fitness 5209 Blaze CT. Rocklin, Ca 95677 |
Make checks payable to: TOTAL BODY FITNESS Total Amount Enclosed: $_____________ |