Ocmulgee Adventure Race 2008

Registration Form

Team Name :

Category (circle one): Solo / 2-person male / 2-person female / 2-person coed

                                 3-person male / 3-person female / 3-person coed elite*

*Cash awards for 3-person coed elite category (1^st place $1,000, 2^nd place $500, 3^rd place $250.) 

  Elite category must use canoe for paddle section.

Name of sponsoring corporation if applicable:

Team Member #1 (Team Captain and Main Contact)

Name:                                                                                         Sex (Male / Female)

Street Address:

City:                                    State:               Zip:                           Date of Birth (mm/dd/yy):

Email

Phone:                                                                               T-Shirt Size: Small / Medium / Large / X-Large   

Emergency Contact Name:

Emergency Contact Address:

Emergency Contact Phone:

Team Member #2

Name:                                                                                         Sex (Male / Female)

Street Address:

City:                                    State:               Zip:                           Date of Birth (mm/dd/yy):

Email

Phone:                                                                               T-Shirt Size: Small / Medium / Large / X-Large   

Emergency Contact Name:

Emergency Contact Address:

Emergency Contact Phone:

Team Member #3

Name:                                                                                           Sex (Male / Female)

Street Address:

City:                                    State:               Zip:                           Date of Birth (mm/dd/yy):

Email

Phone:                                                                               T-Shirt Size: Small / Medium / Large / X-Large   

Emergency Contact Name:

Emergency Contact Address:

Emergency Contact Phone:

Entry Fees: $75.00 per racer
(TrailBlazers discount is $10.00)

Mail completed entry form and check made payable to “Newtown Macon” to:

Newtown Macon

Attention: Ocmulgee AR

479 Cherry St.

Macon, GA 31201

A $25 processing fee will be charged per team for cancellations. This covers our administrative costs.
No applications will be accepted after July 11, 2008. NO EXCEPTIONS. Race officials reserve the right
to reject teams or team members for any reason up to and including the day of the race.  Each team
member will be required to sign a standard liability form at gear check on July 26, 2008.