24 Hours of Afton Registration Form

Team Name: _________________________________________________

Sponsors: ___________________________________________________
Category: All Men   All Women     Mixed (2 Men 2 Women)
         Induhvidual      Single Speed    Veteran (130 cumlative age)

Team Leader: ____________________________________________________

Address: ________________________________________________________

City______________________State______Zip__________Age______________

Telephone: _______________E-mail________________Sex______Shirt Size____

Rider 2 Name: _________________________________________

Address: ________________________________________________________

City______________________State______Zip__________Age______________

Telephone: _______________E-mail________________Sex______Shirt Size____

Rider 3 Name: _________________________________________________

Address: ________________________________________________________

City______________________State______Zip__________Age______________

Telephone: _______________E-mail________________Sex______Shirt Size____

Rider 4 Name: ________________________________________________

Address: ________________________________________________________

City______________________State______Zip__________Age______________

Telephone: _______________E-mail________________Sex______Shirt Size____
-An official race packet will be mailed to team leader after registration is received.
-All roster changes must be made before August 19, 2003.