2008 Watercraft Challenge Registration

August 16, 2008 - Saturday

Click HERE to view course.

Racer Information

Name:

Address:

City:

State:

Zip Code:

Phone #:

CURRENT APBA Member #:
If you are not a current APBA member you must join at the racers meeting August 15th for $20

Racer Number:
(Beginner/Novice will recevie a number at the racers meeting on August 15th)

(if applicable)

Date Of Birth (must be 16 years or older, 16 or 17 year old must have parent/guardian consent below):

Parent/Guardian Name:

Emergency Contact:

Emergency Phone:

Racer Email Address:

Classes/Entry Fees
A Seperate entry fee and registration form is required for each race you would like to enter

Pro-Am Runabout Open
Sprint/Endurance 40 miles :

$210 Entry Fee - 1st Prize - $1500

Pro-Am Ski Open
Sprint/Endurance 20 miles:

$110 Entry Fee - 1st Prize - $650

Beginner/Novice
Runabout/Open 40 miles:

$130 Entry Fee - 1st Prize - $1,000

Beginner/Novice
Ski Open 20 miles

$100 Entry Fee - 1st Prize - $500

Beginner/Novice
Runabout Stock 40 miles:

$130 Entry Fee - 1st Prize - $1,000

*Second and third prizes to be announced.

Brand:

Brand Code:

Billing Information

Payment Type:
If paying by check, please leave the credit card fields blank and mail check to:

Extreme Events
1100 SE 5th Court Suite 40
Pompano Beach, FL 33060

Credit Card Type:

Credit Card #:

Expiration Date:

Security Code:

Name on Credit Card:

Billing Address Line 1:

Billing Address Line 2:

Billing City:

Billing State:

Billing Zip code:

Billing Country:

By pressing “Submit Query” on this entry form, all participants acknowledge that they have read and will abide by the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT FOR APBA EVENTS and further acknowledge their authorization to charge their credit card for the fees selected above. Entry fees are not refundable for any reason. I agree and accept all APBA and Extreme Events, LLC rules and regulations.