Presented by ROOLY OPTICS

JULY 18-21, 2014

USSA Masters, Juniors, Coaches

Name ______USSA# ______

Address______

City, State, ZIP ______

Email______

Phone Cell______Alternate ______

T Shirt size: XS S M L XL Sex: M F Date of Birth ____/____/______

Events Cost Enclosed

Full Weekend: GS, BBQ, SL $132.00 ______

Sat only: GS, BBQ $89.00 ______

Sun Only: SL $59.00 ______

Late Fee, if received after 7/15 $20.00 ______

Guest BBQ $35.00 ______

Online Reg, release forms and more info: www.SummerFunNationals.com or 541-490-5888

Entries, Check payable to: Masters Summer Fun Race, 3624 Lois Dr., Hood River, OR 97031

DNS refund request must be in writing

JULY 18-21, 2014

USSA Masters, Juniors, Coaches

Name ______USSA# ______

Address______

City, State, ZIP ______

Email______

Phone Cell ______Alternate ______

T Shirt size: XS S M L XL Sex: M F Date of Birth _____/_____/______

Events Cost Enclosed

Full Weekend: GS, BBQ, SL $132.00 ______

Sat only: GS, BBQ $89.00 ______

Sun Only: SL $59.00 ______

Late Fee, if received after 7/15 $20.00 ______

Guest BBQ $35.00 ______

Online Reg, release forms, more info: www.SummerFunNationals.com or 541-490-5888

Entries, Check payable to: Masters Summer Fun Race, 3624 Lois Dr., Hood River, OR 97031

DNS refund request must be in writing

JULY 18-20, 2014

USSA Masters, Juniors, Coaches

Name ______USSA# ______

Address______

City, State, ZIP ______

Email______

Phone Cell ______Alternate ______

T Shirt size: XS S M L XL Sex: M F Date of Birth _____/_____/______

Events Cost Enclosed

Full Weekend: GS, BBQ, SL $132.00 ______

Sat only: GS, BBQ $ 89.00 ______

Sun Only: SL $ 59.00 ______

Late Fee, if received after 7/15 $ 20.00 ______

Guest BBQ $35.00 ______

Online Reg, release forms, more info: www.SummerFunNationals.com or 541-490-5888

Entries, Check payable to: Masters Summer Fun Race, 3624 Lois Dr., Hood River, OR 97031

DNS refund request must be in writing