Saturday, April 30, 2011 -- Marlinton, WV
Great Greenbrier River Race Triathlon ENTRY FORM
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RACE CONTACT: Pocahontas County CVB (phone) 800-336-7009 (e-mail) RobinYoung1@msn.com
* Pre-Registration Deadline: postmarked by April 11, 2011. NO LATE or RACE DAY REGISTRATION!
Be sure to reserve Pasta Party tickets!
* Note: All racers must sign a liability release upon packet pick-up. Parents must sign for children under 18.
Please Make Checks payable to: Greenbrier River Trail Association
Mail to: Pocahontas County CVB, P. O. Box 275, Marlinton WV 24954
______________________________________________________________________________
Solo Competitor or Team Captain Name
___________________________________________________________________
E-mail
(__________________________) ______________________________________
Phone
______________________________________________________________________________
Address
______________________________________________________________________________
City / State / Zip Code
Sex: Male______ Female_______ Age_________
Shirt Size: Sm____ Med____ LG____ XLG____ XXLG______
Team Member Names:
Runner______________________________________________________
Sex_____ Age______ Shirt Size______
Paddler____________________________________________________
Sex_____ Age______ Shirt Size______
Paddler____________________________________________________
Sex_____ Age______ Shirt Size______
Cyclist______________________________________________________
Sex_____ Age______ Shirt Size______
MUST CHOOSE A CATEGORY! . . . CHOOSE ONE
SOLO:
____ Youth (16 & under)*
____ Male
____ Female
____ Male Master (Age 50+)
____ Female Master (Age 50+)
TEAM:
____ Youth (16 & under)*
____ Male
____ Female
____ Coed
____ Family
____ Advantage
____ Master (ALL Age 50+)
PASTA PARTY . . . You MUST reserve tickets with this form. NO exceptions.
Will you/your team attend the Pasta Party? Yes_____ No_____ If yes # of tickets needed:_______
Payment Forms MUST be postmarked by April 11. NO LATE or RACE DAY REGISTRATION!
Amount Enclosed:
__________ SOLO: $40
__________ TEAM: $40 each member
__________ Pasta Party / Extra Tickets: $9 each
__________ Post-race Picnic Meals / Extra Tickets: $10 each
__________ TOTAL