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REGISTRATION FORM
Owner Name:___________________________________ Boat Sponsorship (if applicable):______________________
Owner Address:_______________________________________________________ State:_______ Zip:____________
Email Address:__________________________________________ Boat State Registration #:___________________
Company Address:____________________________________________________ State:_______ Zip:____________
Emergency Contact : _____________________________ Ph#: (_____)_____________ Number in Crew:_______
__________________________________________________________________________________________________
Boat Name:__________________________________ Make/Model:______________________________ Year:_____
Engine Manufacturer:________________ Engine Size:________ # of Engines:_____ Drive Type:_____________
__________________________________________________________________________________________________
SHOOT-OUT Class: Boat Usage: Pleasure_____ Race_____ Hull Type: VEE_____ CAT_____
Length: (25” to 31’)_____ (32’ to 35’)______ (36’ to 40’)______ (41’ to 45’)______ (46’+ )_______
Engine Class: (Factory Stock) _____ (Modified-Natural) ______ (Power Enhanced) ______ (Turbine) ______
__________________________________________________________________________________________________
Race Fuel: (100)____ (116)_____ (# of gallons) _____ Crane Launch: YES____ NO____ (Request by 3/10/09)
__________________________________________________________________________________________________
Insurance Co:________________________________ Policy #________________________Policy Expires: ________
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ENTRY FEES: Boat + Captain: $200 Crew: $100 per person Extra Poker Hand: $50
INCLUDES: Thursday OUTLAW STAMPEDE Street Party (Event Wristband Required)
Friday GAMBLER POKER RUN (Event Wristband Required)
- 1 Poker Hand per person entered
- 1 Poker Run Party Pass per person entered (Turtle Club)
Saturday OUTLAW CHALLENGE SHOOT-OUT
- Radar Run: Class Event
- Big Gun Awards Party (VIP OUTLAW Pass Required)
(Boat must participate in Shoot-out to receive VIP OUTLAW Entry Pass for BIG GUN Party .)
TOTAL REGISTRATION FEE:
CASH____ CHECK #_____ CREDIT CARD ____ Money Order______
Boat + Captain = $200 + # of Additional Crew___ x $100 + Additional Hands___ x $50 = $________
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Please remit payment with a copy of this Form to: Texas Outlaw Challenge P.O. Box 580388 Houston TX 77258
I have read, understand, and agree to abide by Texas Outlaw Challenge Terms & Conditions, and Rules & Regulations.
Signature: _______________________________ Date: __ /__ / __ Print Name:_________________________
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