Official Entry Form |
| Last Name: | ______________________ | Street Address: | ___________________________________ | |||
| First Name: | ______________________ | City, State ZIP: | ___________________________________ | |||
| Gender: | Male Female | Phone: | ___________________________________ | |||
| Date of Birth: | ______________________ | Email: | ___________________________________ | |||
| Race Day Age: | ______________________ | Team/Club: | ___________________________________ |
| Date | ||
| Short Track MTB Race | January 22 |
|
| Cross Country MTB race | Febuary 5 | |
| Cross Country MTB race | February 19 |
| Category: |
10 and under |
| Category: | Before Race Day: | On Race Day: | ||
1/22 Short Track MTB Race |
$20 | $25 | ||
| 2/5 Cross Country MTB race | $30 | $40 |
$45. Under 17 Special Race both the MTB Classic and Short Track MTB on Feb. 5 for only $45 |
|
| 2/19 Cross Country MTB race | $30 | $40 | ||
| Total Body Fitness 5209 Blaze CT. Rocklin, Ca 95677 |
Make checks payable to: TOTAL BODY FITNESS Total Amount Enclosed: $_____________ |