2008 Texas River Championship Entry Form (HTML Version)

 
Boat #:  _______

Team Name:________________________________

Class Entered (check one):

____Pro Class Solo Unlimited

____Expedition Class Solo

____Expedition Class Tandem

Boat Make and Model: __________________________________________________

Team Member #1 Name:  ________________________________

Address: ___________________________________________________________

Email: ______________________________Phone: ______________________________ 

Age: __________ DOB: ____________________       

Signature: ______________________________  Date: __________

(If under 18) Parent Signature: ______________________________ Date: __________

(Expedition Tandem Only) Team Member #2 Name: ___________________________

Address: ____________________________________________________________

Email: ______________________________Phone: ______________________________ 

Age: __________ DOB: ____________________       

Signature: ______________________________  Date: __________

(If under 18) Parent Signature: ______________________________ Date: __________

(Optional)

Team Captain Name: ___________________________ Phone #: __________________

Emergency Contact Name:_______________________ Phone #: _________________