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Registration Form 08 Race

Name______________________________________________

Address____________________________________________

Phone______________________________________________

Fax________________________________________________

Email______________________________________________

Type of Craft:___Kayak___Canoe___Raft/Other

Category: ___Individual $20____Pair $35___ Family participants
Size of Shirt needed_______

Waiver: By Signing this registration form  I understand that I am participating at my own risk. I will not hold any of the organizations(Houston Chamber of Commerce, Susitna Rotary, City of Houston)responcible for any injury or damage to myself or my equipment.


Signature_________________________________________________

Date___________________

Fax to 373-1390
Bring to Visitor Center 10-2 Daily and on race day August 16, 2008, 8:00-3:00.
Mail to PO Box 356
Houston AK 99695