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Riptank Open 2010 Registration

Contact Information:

First Name: Last Name:

Phone Number:
Email Address:

Address Information:

Address Line 1:
Address Line 2:
City: State: Zip Code:

Emergency Contact Information:

Contact Name:
Phone Number:
Contact Relation:

Division Entering:
Youth $35
Beginner $35
Intermediate $35
Advanced $35
Expert $35
Outlaw $75
Not wakeboarding (wakeskate only) $35

Wakeskate Competition:
Check this box if you're riding in the wakeskate division

Rider Bio

Please fill out this form so that our announcer will have some interesting things to say during your run.

Gender: Age:

Board:

Bindings:

Years Riding:

Favourite Trick:

Favourite Rider:

Where and with whom do you ride with?

How long have you been riding?

Anything else you would like to add:

*Entry fee for all divisions except Outlaw is $35
**Entry fee for Outlaw is $75
***You can only enter one wakeboard division, but you may enter in a wakeboard division and in wakeskate
****Riders who enter a wakeboard division and in wakeskate will only have to pay $15 entry for wakeskate