Register for Lone Star Rogaine 2007

Print and mail the following form.

For your convenience, view the registration in pdf format.
Download the free Adobe Acrobat Viewer.

To pay by credit card visit Active.com   (there will be an admin. fee).  

Fill out one entry per team member.


Lone Star Rogaine 2007

 

Team Name___________________________       Circle one:      6hr   12hr   24hr

Name_________________________________                     Sex    M      F       

Date of Birth_____________________

Address_______________________________________

City____________________St_______ Zip ___________

Phone_________________________________

E-mail_________________________________

Emergency Contact________________________________

Phone________________________________

Special Medical Concerns (allergies, etc...)

T-Shirt Size:  Small____     Medium_____   Large_____   X-tra Large_____

__________________________________________________

Entry Fees:

$45 per person for the 6 hour race ($55 after Nov. 2)
$55 per person for the 12 hour race ($65 after Nov. 2)
$75 per person for the 24 hour race ($85 after Nov. 2)
Registration closes November 12, 2007

Make checks payable to: Too Cool Racing, LLC
Mail to: Too Cool Racing, c/o Art Cook, 12011 Cabana Ln, Austin, TX  78727