| 2012 Arkansas RRCA
Grand Prix Series XXXI Entry Form 31 Years Running! |
|
| ENTRY FORM - PLEASE PRINT | Grand Prix Website: www.ArkRRCA.com |
| Name: Last: | First: |
| Sex: M F | |
| Date of Birth: | |
| Age on 11/17/2012 (to determine '12 GP series age): | |
| Address: | |
| City, State, ZIP: | |
| Email: | |
| Arkansas RRCA Running Club: | |
| Date: | |
| ***Must be received 5 days prior to race to earn points in that race *** | |
|
Grand Prix Dues are $15 ($10 for ages 18 and under), make
checks out to Arkansas
RRCA
Please send this completed entry form with fee to: Arkansas RRCA c/o David Meroney 12100 Cherry Laurel Dr Little Rock, AR, 72211 |
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| Good luck to all in 2012! | |