LURE OF THE DRAGONS REGISTRATION
HICKORY NUT GORGE OLYMPIAD REGISTRATION
LURE OF THE DRAGONS REGISTRATION
Company/Organization
Team Captain
Email
Phone
Address
City
State
-Select One-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montanta
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Team Co-Captain
Email
Phone
Team Name
Race Divisions
Masters (55 and over)
Corporate/Business
Youth (ages 12-18)
Mixed (must have at least 4 women)
All Male
Non-profit
All Female
Healthcare
Breast Cancer Survivors (BCS)
Municipalities
Early Registration
(Before May 17th)
Corporate $750
Non-profit $550
LLDBR $330
Late Registration
(After May 17th)
Corporate $850
Non-profit $650
LLDBR $430
All teams must be paid in full by June 4, 2012
TEAM ROSTER
POSITION
NAME
MALE
/FEMALE
PADDLER 1
-SELECT-
MALE
FEMALE
PADDLER 2
-SELECT-
MALE
FEMALE
PADDLER 3
-SELECT-
MALE
FEMALE
PADDLER 4
-SELECT-
MALE
FEMALE
PADDLER 5
-SELECT-
MALE
FEMALE
PADDLER 6
-SELECT-
MALE
FEMALE
PADDLER 7
-SELECT-
MALE
FEMALE
PADDLER 8
-SELECT-
MALE
FEMALE
PADDLER 9
-SELECT-
MALE
FEMALE
PADDLER 10
-SELECT-
MALE
FEMALE
ALTERNATE 1
-SELECT-
MALE
FEMALE
ALTERNATE 2
-SELECT-
MALE
FEMALE
DRUMMER
-SELECT-
MALE
FEMALE
CHECK HERE IF YOU ARE PROVIDING YOUR OWN STEERSPERSON
STEERSPERSON
Checks payable to: Lake Lure Dragon Boat Racing
Mail to:
Lake Lure Dragon Boat Racing
c/o Thomas McKay
PO Box 488
Lake Lure, NC 28746
This race event is managed and owned by Lake Lure Dragon Boat Racing. This application is made on behalf of the company/organization/group indicated above (Team). By Clicking the "Agree" below, this form becomes a valid contract for entry into the Olympiad Dragons Race. By agreeing and submitting this form, the team captain acknowledges that he/she has read the rules and regulations for the event and agrees to abide by them. You
Must Accept
that you understand and agree to abide by the Rules and Regulations.
There should be a floating frame here
By agreeing, you are validating this form as a contract
Agree
Disagree
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