Calico Trail Run
Race Date January 17, 2010
Participant Application
Name ______________________________circle one 30K 50K
Date Of Birth ___________________________
Street Address_________________________________________
City__________________________State__________Zip_______
Phone________________________________________________
Email Address_________________________________________
Age as of January 17, 2010_____________
Class (circle one) ----- Youth(under 18) Men Woman Military
Size of T Shirt (circle one) XS SM MED LG XL XXL
Email Address___________________________________________
Race Fee is:
On or before December 31, 2009 - $65
After December 31, 2009 - $80 (no t-shirt guarantee)
Please make checks payable to: DISCOVERY TRAILS
THERE ARE NO REFUNDS AFTER DECEMBER 24, 2009
Please send this application to:
: Discovery Trails
PO Box 2575
Barstow, CA 92312
If you want to use a MasterCard or Visa, please fill out below. You may fax
this securly to Bill Cook at (866) 519-4415.
Name on card _________________________________________
Card # _______________________________________________
Exp. Date ______________
Your Signature authorizing this transaction above. ____________________________
Date Today _____________________
Registrations must be received by January 16, 2010, 6pm
YOU WILL BE REQUIRED TO SIGN A WAIVER OF LIABILITY ON RACE DAY .
MINORS WILL NEED PARENTS SIGNATURE TO PARTICIPATE.
