SMARTBLAST REGISTRATION

June 19, 2010 - Depot Park - Clarkston , Michigan

There are two ways to register for the race:

Credit Card Registration (signmeup): Closed: Call 248-673-1727 for race day registration

Mail in Registration: Closed

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: * $70.00 Per Person
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 Marcia Harrington

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

Home

Race

SMART