DIRTY DOZEN & THE FROZEN SIX
February 2, 2008


Pre-Registration must be postmarked no later than January 19, 2008 to receive discounted entry fee & T-Shirt.

Mail Registration and Non-Refundable Race Fees (Check or Money Order) to

Terra Firma Promotions, LLC
3113 Lake Highlands Drive
Highland Village, Tx 75077
972-966-1300

Please circle a CATEGORY:

DIRTY DOZEN 12 HOUR RACE:

$75.00 per rider pre-registration / $85.00 per rider race day registration

 

5 person       4 Open         4 Female       4 Masters        2 Male        2 Female

2 Coed       Solo female            Solo male sport             Solo male expert

FROZEN SIX (6) HOUR RACE:

$55.00 per rider pre-registration / $65.00 per rider race day registration

2 Open      Solo Female       Solo Male

Team Name:______________________________________________________

Team Captain Name:_______________________________________________

Address:_________________________________________________________

City:__________________________ State:_____________

Zip:___________Email______________________________________________

Home Phone:______________________________________________

Cell Phone:______________________________________________

 

Ages on 12/31/2008:(1)_____ (2)_____ (3)_____ (4)______ (5)_______

 

T-Shirt Sizes:(S,M,L,XL,XXL)_________________________________________

Team Members: Captain: (1.)________________________________

2.____________________________

3._____________________________

4.____________________________ 5._____________________________

 

 

[ Terra Firma ]  [ Dirty Dozen]

 

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