COMPETITOR ONLINE ENTRY FORM

2009 Summer Biathlon

National Championships/Youth Paintball Event

&

World Championship Team Trials
July 8-12, 2009, Mt Van Hoevenberg, Lake Placid, NY

 

Personal Info
Last Name: First Name: 
Street Address: 
City:    State:  Zip Code:    Country:
Email:  Telephone: 
Gender: Male Female   Age as of(07/08/09) Date of Birth (mm/dd/yyyy):
Team Coach if applicable: Coach Phone:
T-Shirt Size
S M L XL
Age Category
  JUNIOR
      
born on or after 1/1/88
       born on or before 07/08/1997
  SENIOR
      
born on or after 01/01/1969
       born on or before 12/31/1987
  MASTER
      
born on or after 01/01/1959
       born on or before 12/31/1968
  GRANDMASTER
      
born on or before 12/31/1958
Events and Entry Fees
Races and Dates (select one or more)

     Mass Start - Friday, July 10
     Sprint - Saturday, July 11
     Pursuit - Sunday July 12

Entry Fees (includes banquet for competitor)

     $40 for One race
     $60 for Two races
     $75 for Three races


Extra banquet Tickets
     Extra adult at $15 each No.
     Extra child at $10 each  No.

    Total $U.S.dollars
Make checks payable: "Lake Placid Biathlon Club
Checks due at event registration day of event

Youth Paintball Competition An extra treat for families with youth ages 8-13
Provided By NYSEF - Saturday July 11 following the Sprint competition

Ages 8-13
Cost: 6$ each
Payable: "NYSEF"  Pay at Event


Distances: 2k - ages 8-11, 3k - ages 12-13.

provide names and ages

 

Competitor Profile - optional How many Years have you competed in biathlon?

How did you get your start in Biathlon?

Highlight of you biathlon caree?

Occupation?

Local media outlets:

Newspaper email:

Other medial Email:

 

 

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