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| Team name:___________________________________________ Preferred 4 digit boat number __________ (first come, first served) Paddler One 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 page at http://www.rivermiles.com/resources/grittyfitty.html and I agree. _______ Paddler Two 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 page at http://www.rivermiles.com/resources/race.html and I agree. _______ Make checks payable to Rivermiles, LLC Deadline for applications is June 15th, 2007. Team subs are permitted up to June 23rd, 2007. Mail with signed waiver(s) to: Rivermiles, LLC 16047 S. Avalon Olathe, Ks. 66062 E-mail:  Website: www.rivermiles.com Phone: 913-244-4666 |
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