Entry Fee: Entry fees are nonrefundable
(Please check appropriate box)


6K Run                      6K Walk
$12 before 7/31/10     $15 after 7/31/10

 1 Mile Run                1 Mile Walk
$12 before 7/31/10     $15 after 7/31/10

 T-Shirt Size: (Please check appropriate box)

2X           XL                    L              M             S                              Youth (10-12)

Disclaimer:
The undersigned hereby agrees to hold harmless the sponsors for
any injuries to themselves before, during, or after the Nautical Race, and specifically
do not hold the sponsors responsible for condition of the course of said race.

_____________________________________________
(Signature)
____________________________________________
If under 18, parent or guardian must also sign.

Entry Form: Mail Entries to: Rob Kortman. 5915 US 23 N, Rogers City, MI 49779. 
For More Information call: 989-734-4691 or email: coachrck@yahoo.com  

________________________________________
Name (Last, First, Middle Initial)                                Address

________________________________________
City                                                     State                                        Zip

________________________________________
Phone #                                               Age                 Sex      e-mail address

 In case of emergency, notify:____________________________

Phone #___________________

Make Checks Payable to:
Nautical Run