Noxapater Cotton Gin Festival Duathlon Entry Form

 (Print and fill out)

 

Send completed entry form and entry fee to:

Noxapater Cotton Gin Festival Duathlon

PO Box 52

Noxapater, MS, 39346

 

Make Checks Payable To: Noxapater Tri Club

 

 

 

Last Name                        First Name

 

 

 

Address

 

 

 

City, State                        Zip Code

 

 

Phone Number

 

Age On Race Day (Must be 13 for Duathlon, 6 for Kid’s Race) _____________________

 

Sex ______________

 

 

Adult Shirt Size:    S      M      L      XL      XXL

Child Shirt Size:    S      M      L

 

Individual Entry   $25     Team Entry   $40

 

ALL ATHLETES MUST READ AND SIGN WAIVER, PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGEMENT, WAIVER AND RELEASE FROM LIABILITY. – Click Here For Waiver

 

 

 

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