*Name: Age:

For college students:
Address (campus):
Phone (campus):

For both college students and community members:
Address (Permanent):
Phone:
Cell:
*Your E-Mail Address:
Alternate E-Mail Address:

I am interested in the following areas (check all that apply):
Race Marshal
Check Points
Registration
Timing
Safety Boater
Set Up-Tear Down Only
Challenge Facilitator
Merchandise Sales/Silent Auction
Any

*Required