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Register Big Chill Print and mail the following form. To pay by credit card visit active.com (there will be an admin. fee).
Team Name_________________________________________ AR Club____________________________________________ Team Captain__________________________ Sex M F Date of Birth_____________________ Address_______________________________ City_____________________ St______ Zip ___________ Phone_________________________________ E-mail__________________________________________ Emergency Contact________________________________ Phone________________________________ Special Medical Concerns (allergies, etc...)__________________________________________________ Team Member 2_________________________ Sex M F Date of Birth_____________________ Address_______________________________ City_____________________ St______ Zip ___________ Phone_________________________________ E-mail__________________________________________ Emergency Contact________________________________ Phone________________________________ Special Medical Concerns (allergies, etc...)__________________________________________________ Team Member 3_________________________ Sex M F Date of Birth_____________________ Address_______________________________ City_____________________ St______ Zip ___________ Phone_________________________________ E-mail__________________________________________ Emergency Contact________________________________ Phone________________________________ Special Medical Concerns (allergies, etc...)__________________________________________________ Team Member 4_________________________ Sex M F Date of Birth_____________________ Address_______________________________ City_____________________ St______ Zip ___________ Phone_________________________________ E-mail__________________________________________ Emergency Contact________________________________ Phone________________________________ Special Medical Concerns (allergies, etc...)__________________________________________________
Entry Fees: $120 per person if postmarked on or before January 7, 2005 $130 per person after January 7, 2005 Make checks payable to: Too Cool Racing, LLC Mail to: Too Cool Racing, c/o Art Cook, 8101 Stillwood Ln, Austin, Tx. 78757
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2009 Copyright TooCoolRacing. All rights
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