TEAM REGISTRATION FORM
La Ruta Maya Belize River Challenge 2009
Please provide as much information as you can.
Text colored in orange indicates required information.
You will be contacted within 3 working days to complete the registration process.
**Use the TAB key on your keyboard to move from box to box on the form.
Click the SUBMIT button at the bottom to submit the form for processing. |
Sponsor Name:
Sponsor Address:
Telephone:
Email:
Contact Person:
Team Members:
NAME: Age:
NAME: Age:
NAME: Age:
Captain:
Amount Paid:
Paid To:
Date Paid:
Method of Payment:
Canoe Number:
Entry Category:
N.B. All teams will be provided with basic food and Vida Purified Water. Canoes, paddles, life vests, and any other accessories must be provided by the sponsors. All race officiating and security will be provided by the organizers.
For More Information:
Tel: 501-824-2646
Fax: 501-824-3075
Email: inquiries@bighjuices.com
REGISTRATION FEE: BZ$250 ($US125)