| USSA MASTERS EVENT ENTRY | |||||||
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Last Name, First Name
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USSA Number
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DOB (mm/dd/yyyy)
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Gender
M W
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Age Class
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Division
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Street Address
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Phone Number
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City, State Zip
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Email
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Event
2011 Western Rgn Championships |
Event Location
Mammoth Mountain, CA |
Event Dates
Feb. 3-6, 2011 |
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| Discipline: | Date: | Entry Fee: | Amount: | Check to enter: | |||
| SC | 2/3-5/2011 | $50 | |||||
| SG | 2/3-4/2011 | $40 | |||||
| GS | 2/5-6/2011 | $35 | |||||
| SL | 2/5-6/2011 | $35 | |||||
| Banquet (Sat.) | 2/6/2011 | $40 each | # tickets: | ||||
| Late Entry? | $15/race after 1/22/2011 | ||||||
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Please write a single check for all race entry fees
and a separate check for banquet tickets payable to:
Mammoth Mountain Race Department
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TOTAL: | ||||||
Competitors must have a current USSA alpine master competition license.
Entries should be submitted to Mammoth Mountain Race Department either online or by mail, as described below.
Entries are due by 5pm Wed Jan. 26, 2011. Late entries will be accepted on a space-available basis up to Feb. 1, 2011. Event registration will be closed and no entries will be accepted after Tuesday Feb. 1.
Banquet tickets can be purchased at registration. Payment is due by Thursday, Feb. 3, 2011, 5:00pm.
Complete this form, indicating all events in which you wish to compete. Write a single check for all events in which you wish to complete, along with separate check for any banquet tickets (indicate number), payable to Mammoth Mountain Race Department. Entries should be submitted along with payment (cash or check) to:
Mammoth Mountain Race Department
ATTN: Western Regionals Race Administrator
P.O. Box 24
Mammoth Lakes, CA 93546
Enter online at SkiRaceReg.com - Western Regionals race entries can be found in the Far West Masters series.
All competitors must to sign MMSA specific liability release at registration.
Competitors must cancel at least one week prior to the event (by Wednesday Jan. 26). Refund requests must be submitted to the Mammoth Race Departement by Tue Feb. 1, 2011.
Late Fees:
$15/race for entries received after
1/26/2011
| Mammoth Mountain Race Department | Phone: (760) 934-0642 |
| P.O. Box 24 | Fax: (760) 934-0613 |
| Mammoth Lakes, CA 93546 | Email: racedepartment@mammoth-mtn.com |