Family Name _______________________ First name _________________
Address ______________________________________________________
City __________________________Postal Code _____________________
Province/State ______________________ Telephone __________________
Fax ____________________ E-mail _________________________
Club _________________________________ Male _____ Female _____
Birth Date ____________________ Age Category _____________________
| Monday, March 5 20km, classic | $20.00 _______ |
| Wednesday, March 7 10km, classic pursuit | $20.00 _______ |
| Thursday, March 8 10km, free pursuit | $20.00 _______ |
| Saturday, March 10 30 km, free | $20.00 _______ |
| Saturday, March 10 Banquet | $20.00 _______ |
| Member of the Canadian Masters Association? _________If No, please add | $15.00 _______ |
| Total _______ |
Please make cheque payable to: Les Aventuriers, Inc.return before March 3th , 2001 to:
Club de Ski de Fond Les Aventuriers,c/o Gail Morin
114 Tait Street Tel: (506) 684-2074,Dalhousie, N.B. E8C 2M9
Email: gmorin@nbnet.nb.ca Fax: (506) 684-3478
***********
Exemption Clause: I absolve Les Aventuriers Cross Country Ski Club, the Organizing Committee, Canadian Masters Cross Country Ski Association, Cross Country New Brunswick, Cross Country Canada and all persons or organizations officially affiliated with these competitions from all responsibility for all injuries, or damages of all kinds incurred by my participation or my presence at these competitions.
Signature _________________________________ Date _______________________