*** MAGIC – IN – MINETTO ***

KAYAK / CANOE

RECREATIONAL RACE

SATURDAY AUGUST 09, 2014

REGISTRATION FORM

No charge for Registration Donations accepted to help Park Beautification

On Site Registration 11:30 AM - 12:30 PM Start Time 1:00 PM

Number of Paddlers: Single: _____ Double: _____ Adult/Child Dbl. ______

(under 13 yrs.)

Racer # 1 (Single) Racer # 2 (Double)

Name: ______Name: ______

Address:______Address: ______

______

State: ______Zip: ______State: ______Zip: ______

Age: ______Age: ______

Boat: Kayak _____ Canoe _____ Paddle board______

Make ______Model ______Length ______

·  Paddlers must follow all instructions from Race Officials

·  All racers required to wear PFD’s

·  Race category/classes will be determined prior to the race

·  Please remember, this is a recreational race

For more information contact:

Dick Drosse

(315) 343 – 4565