Gritty Entry Form

Team name:___________________________________________

Preferred 4 digit boat number __________ (first come, first served)

First Paddler information:

Name_________________________________________________________

Male______ Female______ Age at Race Date_______ Shirt Size ______________

Street____________________________________

City______________________________________

State/Province_____________________________

Country___________________________________

Zip/Postal Code____________________________

Phone (w) ___________________________ (h)________________________

Fax___________________________ E-mail __________________________
I read the rules and I agree. _______

Second Paddler if applicable:

Name_________________________________________________________

Male______ Female______ Age at Race Date_______ Shirt Size ______________

Street____________________________________

City______________________________________

State/Province_____________________________

Country___________________________________

Zip/Postal Code____________________________

Phone (w) ___________________________ (h)________________________

Fax___________________________ E-mail __________________________
I read the rules and I agree. _______

Make checks payable to Rivermiles, LLC

Deadline for applications is August 15th, 2008.
Team subs are permitted up to August 23rd, 2008.
Additional T-shirts will be $17.00 each. Please indicate quantity and sizes you would like.
T-Shirts _______ Sizes________
Mail with signed waiver(s) to:

                      Rivermiles, LLC
                      16047 S. Avalon
                      Olathe, Ks. 66062