CALCULATE TOTAL FEES
Mail to:  Lake Adventures
3710 Farnum Creek Rd
Milford, KS 66514
www.adventureracekansas.com
(785) 307-1901
RACE REGISTERING FOR:  (circle one)
Back It Up Trail Race  date:______
Adventure Race Training Camp
Extreme Spring Sprint
Extreme Discovery Sprint
Milford Lake Extreme Adventure Race
3 person Team                4 person Team                    5K                  10k      
DIVISION (circle one)
* only Co-Ed teams will qualify for official ranking and prizes.
RACER #1
Team Captain
 RACER #2
 RACER #3
 RACER #4
       
       
       
       
       
       
       
       
       
       
       
First Name
Last Name
Email Address
Mailing Address
City
State,Zip Code
Phone #
Age
Date of Birth
Gender
Want to buy a tshirt?
 size?
RACE
 COST
 QTY
 SUBTOTAL
Individual 5k/10k
 $10
    
Adventure Camp Full Course Early Reg (1/15/09)
 $285
    
Adventure Camp Full Course Normal Reg (2/15/09)
 $250
    
Adventure Camp Saturday Course (by 2/15/09)
 $125
    
Extreme Spring or Discovery Sprint 3 person team
 $150
    
Extreme Spring or Discovery Sprint 4 person team
 $160
    
Milford Lake Extreme Adventure Race 3 person team
 $255
    
Milford Lake Extreme Adventure Race 4 person team
 $300
    
Long Sleeve Race Shirt (Dry Fit/Synthetic) specify size
 $22
    
TOTAL
  
Registration will remain open until listed closing date per race OR until team slots are
full.  You may also register on line at www.adventureracekansas.com
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Please make checks payable to:  Lake Adventures
2009 Race Series