Name: ___________________________________________

Address: __________________________________________

Phone: ___________________________________________

Thank you for your participation.  Your T-Shirt will be mailed to you within 2 weeks after the race. 

Sorry for any inconvenience.

Youth M (  )

Youth L  (   )                                                             

Adult S    (   )                                                                                  

Adult M   (   )

Adult L    (   )

Adult XL (   )

Adult XXL (   )