2007 EAGLE MOUNT DICK DAILEY MEMORIAL CUP
REGISTRATION FORM

Print and complete this form. Registrations are due on or before the day of the event.
* Pre-registration recommended: Pre-registration's must be turned in to Eagle Mount at #9 3rd St No, Suite 1, Great Falls, MT by 4:30 p.m. March 16th, 2007.
* Liability releases are required before racing. If you are a minor, you must have a parent present or have your release pre-signed before the race day. Releases are due on or before the day of the event.
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Team Requirements
Teams must consist of four (4) members. Each of the four members of each team must fulfill one of the requirements for a racer in the categories listed below. For ski teams, there can only be one racer from each category, but there must be one from each category. If there are any questions or confusion about this, please contact us BEFORE the race.

SKI TEAMS
Racer 1: Age 40 and over
Racer 2: Age 30-39
Racer 3: Female
Racer 4: Any other person
SNOWBOARD TEAMS
Any four snowborders make up a snowboard team!
FAMILY TEAMS
Any four immediate family members make up a family team!

COST
* $140 per team (That's only $35 per racer going to a great cause!)
* Sponsor forms are available upon request (454-1449) if racers want to collect pledges.

TEAM NAME: ____________________________________________________
CONTACT PERSON: ______________________________________________
PHONE NUMBER: ________________________________________________
ADDRESS: _______________________________________________________

Team Category (check one): ___ SKI ___ SNOWBOARD ___ FAMILY

Team Members
RACER 1: _______________________________________ D.O.B.* ___________
RACER 2: _______________________________________ D.O.B.* ___________
RACER 3: _______________________________________ D.O.B.* ___________
RACER 4: _______________________________________ D.O.B.* ___________

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The Lone Racer:
Don't have a team and still want to race? The cost is $35 per racer. Lone racers are not eligible
for Trophies or Team Prizes.

Lone Racer: _________________________________
Phone: _____________________________________
Address: ____________________________________
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PAYMENT INFORMATION

______ Check payment enclosed (no cash please)
______ Bill my credit card ___Visa ___MC ___Discover
Name on Card: ________________________________
Card #: ______________________________________
Expiration Date: ________________________________
Amount to Charge: ______________________________
Signature: _____________________________________