SMARTBLAST REGISTRATION

October 15, 2011 - near Canterbury Village, Orion, Michigan

There are two ways to register for the race:.)

Credit Card Registration (signmeup):

Mail in Registration: Fill out the form. Print it (cannot save it). Mail the form and payment to us.

Team Name:
Division:
Team Captain Name: Age: Sex:
Address: Phone:
City: State: Zip: Shirt Size:
E-mail Address:
Teammate Name Age: Sex:
Teammate Shirt Size:
Teammate E-mail Address: Phone:
Team Entry Fee: - $80 After October 1, 2011
Will you be renting a canoe for this race?
*Canoe rental arrangements must be made through Heavener’s Canoe Rental
How did you learn about the race? :

***PRINT THIS FORM AND MAIL IT IN WITH YOUR CHECK ***

Make Check Payable to SMARTBlast LLC

Mail to: SMARTBlast LLC, 3200 Schoolhouse, Waterford, MI 48329.

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