2008 USA Canoe/Kayak Whitewater Slalom Junior Team Trials

USA Junior Slalom Team Trials

Sponsored by
Keen Footwear, Alexander Dawson School, FRPA, Powerbar
and Golden Hotel

Race Date: Saturday -Sunday, May 31-June 1 2008

Slalom Racer Information

Name

Address

City

State

Zip

Phone

Email Address

Date of Birth and Age

Gender

Male

Female

Class Age Bracket

USACK Member Number (must have USACK membership to participate)

Choose Class(es) Deadline for entry is May 25, 2008
(Event Entry Includes Event Shirt and lunches on Competition Days)

T-Shirt Size

Method of Payment

I am sending a check (WPSF, PO BOX 1015, Lafayette, Colorado 80026)

Please use credit card info below

Name on Card

Billing Address: (Address, City, Zipcode)

Credit Card Type

Credit Card Number

CSC Code

Expiration Date (mm/yy)

Indicates Response Required


This form created at http://www.formsite.com/