AuSable River C-1 Express

Borcher’s to Burton’s

Sponsored by:

Mark Sloan an American Express Financial Advisor

P.O. Box 808

Grayling, MI 49738

(989) 348-8232

Thursday July 22^{nd (During Marathon Sprints for position)}

^{The perfect race for support team members}

$660 Purse

Registration from 4 to 6 at Penrod’s 7/22/04 (or by mail before 7/16/04) make checks payable to ARICM)

Awards presented at the Marathon Paddler’s Dinner (Holiday Inn 7/23/04)

Name ___________________________

Street Address ___________________

City __________ State & Zip________

Date of Birth __________ Age_______

Male _______ Female_______

MCRA Canoe # C-1_________

Entry Fee Enclosed $15 _____

Entry forms can be mailed to Mark Sloan c/o PO Box 808 Grayling, MI 49738.

All entrants must read and sign below:

The undersigned waives any and all rights to claims against the officers, committee members, and sponsors of the ARICM and the AuSable River C-1 Express both individually and severally, and acknowledges the above organizations are assuming no responsibility to the undersigned. You also agree to be at the disposal of the Race Committee for photos, interviews, etc., and herby permit the committee to use photos, likeness, etc., for public relations and fund raising purposes.

Contestants under 18 years of age must have this waiver signed by themselves and their parent or guardian.

By_______________________________ Date ______________

Parent/Guardian ________________________________ Date_____________________