Texas Adventure Racing

1. Race: Nav Texas Race Nav Texas Clinic

Texas Quest

Huntsville Hammer

2. Category: Nav Texas

Sprint---Coed, Male, Female, Masters, Solo

6 Hour---Coed, Male, Female, Masters, Solo

12 Hour---Coed, Male, Female, Masters, Solo

3. Did you need a canoe rental? Yes or No

4. AR Club Membership? Which one:________________________

5. Team Name:__________________________________________

All members must have email address and phone numbers for notification and emergency purposes:

Captain: _____________________ M – F Email ______________________________

Shirt: S M L XL XXL Cell number __________________________

Member 2: _____________________ M – F Email_____________________________

Shirt: S M L XL XXL Cell number ___________________________

Member 3: _____________________ M – F Email ____________________________

Shirt: S M L XL XXL Cell number ___________________________

6. Fill in below to calculate total:

Number of racers _____ x $_____ = __________ + $____ for canoe

Total Paid: _________________

Multiple checks and/or forms from multiple team members are acceptable.

Make Checks payable to Jim Willis and mail to:

Jim Willis, 705 Herkimer, Houston, TX 77007

CC number ________________________________

Name on CC _______________________________ate __________3 digit security code_____ Signature to charge CC ___________________