The Great Race®
Registration Form
Saturday, July 21, 2007 (or Enter On Line)
Net Proceeds go to The County of Sacramento's
Therapeutic Recreation Services
Entry Fee Includes T-Shirt, food and beverage coupons
Postmarked Date:
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By July 14
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After July 14
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$80
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$90
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All Ironpersons (individuals)
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$165
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$180
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2 or 3-person Team
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$215
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$230
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Tandem Kayak/Recreational
or Canoe Team (4 persons)
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Make all checks payable to THE GREAT RACE®
You must include a self-addressed stamped envelope,
FAX number or e-mail address if you want to receive
a confirmation letter and team number.
| Mail To:
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The Great Race®
PO Box 292640
Sacramento, CA 95829 |
DIVISION ENTERED
Check One Division Only:
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___1. ADAPTIVE (at least one member must have a disability)
___2. FIRE FIGHTER / POLICE
___3. TANDEM RECREATIONAL CANOE
___4. TANDEM KAYAK
___5. SOLO CANOE
___6. INFLATABLE ("Rush to Rancho")
___7. SIT-ON-TOP
___8. CORPORATE (All from same Company)
___9. CO-ED (No age limitations, at least one male/female)
___10. OPEN (Paul A. Garcia Memorial)
___11. TOURING/SLALOM
___12. FAMILY (Leonard Weed Memorial)
___13. WOMEN'S All members are women
___14. WOMEN'S 40+ All members age 40 and over*
___15. WOMEN'S 50+ All members age50 and over*
___16. MEN'S 40+ All members age 40+*
___17. MEN'S 50+ All members 50 or over*
___18. JUNIORS All members 18 years and younger*
___19. IRONMAN Individual male under age 40*
___20. IRONMAN 40+ Individual male age 40-49
___21. IRONMAN 50+ Individual male age 50 or over
___22. IRONMAN 60+ Individual male age 60 or over
___23. IRONWOMAN Individual female under age 40*
___24. IRONWOMAN 40+ Individual female age 40-49*
___25. IRONWOMAN 50+ Individual female age 50 and over*
*Age as of race date July 21, 2007
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revised 5/17/2007
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| Important! Please Read and Sign Page 2, |
Team Name _____________________________________
_______________________________________________
Company Sponsor (If Corporate Division Team)
_______________________________________________
Company Address
_______________________________________________
City
______________________________________________
Team Captain FAX number
Email ______________________________________
ENTRY FEE .............................................$ _____
RAFFLE TICKETS $2 each or 6 for $10 ..........$ _____
CARBO-LOAD DINNER TICKETS
I'd like ____adult meals (13 & over) at $7 ea...... $_____
I'd like ____child meals (12 & under) at $3 ea......$_____
Contributions .......................................................... $______
Total Enclosed (Payable to The Great Race .......$ _____
TEAM MEMBERS
RUNNER (or IRONPERSON) ___ check if team captain
Last Name __________________________________
First Name __________________________________
Address ____________________________________
City/State/ZIP ____________________/____/______
Email ______________________________________
Phone No. Day ______________ Eve _____________
Age (as of 7/21/07) _____ Circle Sex: M F
Circle T-Shirt Size: Small Medium Large X-Large
CYCLIST___ check if team captain
Last Name __________________________________
First Name __________________________________
Address ____________________________________
City/State/ZIP ____________________/____/______
Email ______________________________________
Phone No. Day ______________ Eve _____________
Age (as of 7/21/07) _____ Circle Sex: M F
Circle T-Shirt Size: Small Medium Large X-Large
PADDLER ___ check if team captain
Last Name __________________________________
First Name __________________________________
Address ____________________________________
City/State/ZIP ____________________/____/______
Email ______________________________________
Phone No. Day ______________ Eve _____________
Age (as of 7/21/07) _____ Circle Sex: M F
Circle T-Shirt Size: Small Medium Large X-Large
2nd PADDLER or Guide ___ check if team captain
Last Name __________________________________
First Name __________________________________
Address ____________________________________
City/State/ZIP ____________________/____/______
Email ______________________________________
Phone No. Day ______________ Eve _____________
Age (as of 7/21/07)_____ Circle Sex: M F
Circle T-Shirt Size: Small Medium Large X-Large
Both pages of the web entry form must be submitted to be legally entered
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