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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 $25
Racer Number:
(Beginner/Novice will recevie a number at the racers meeting on August 15th)
(if applicable)
Date Of Birth
(must be 18 years or older)
:
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
Runabout Stock Class Approx 9am and Runabout Open Class Approx 11Am
Runabout Open
Sprint/Endurance approx 34 miles:
$210 Entry Fee - 1st Prize - $1500
Runabout Stock (Beginner)
Runabout Stock approx 34 miles:
$130 Entry Fee - 1st Prize - $1,000
*Second and third prizes to be announced.
Brand:
Brand Code:
-- Choose Brand --
Kawasaki
Polaris
Seadoo
Honda
Hydrospace
Yamaha
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
-- Choose Type --
Credit Card
Check
Credit Card Type:
-- Choose Type --
Visa
MasterCard
American Express
Discover Card
Credit Card #:
Expiration Date:
-- Choose Month --
(01) - January
(02) - February
(03) - March
(04) - April
(05) - May
(06) - June
(07) - July
(08) - August
(09) - September
(10) - October
(11) - November
(12) - December
-- Choose Year --
2008
2009
2010
2011
2012
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.