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Coastlongboarding

Registration for

RACE THE RASH FOR CASH

Complete the form below to register for RACE THE RASH FOR CASH!

Details:

  • EVENTS ARE A $100 EACH OR $200 FOR ALL FOUR!
  • ***ALL EVENT REGISTRATION*** BRING YOUR CASH ENTRY TOO... Racer Registration & Mandatory Racer Meeting on Saturday @ The Lions Park in Pender Harbour (the racers campground) MISS THIS YOU DON'T RACE!!

CONTACTS

First Name



Last Name



Sponsors (optional)



Age



Gender



Medical Number (if you have one)



Emergency Contact Name



Emergency Contact Phone Number



 

Email Address



Phone Number



Address, Street



City/Town



Country



Postal/Zip Code

OPTIONS

Race Class - Choice 1



Race Class - Choice 2 (optional)



Race Class - Choice 3 (optional)



Shirt Size



COMPLETION



Contact: coastlongboarding@shaw.ca

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