Gritty Fitty 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