Green Brook Racing LLC
Joe Patanella, Race Director
Race Application

Name:_
______________________________________ Age on 12/31/08:_________  DOB:__________

Address:_______________________________________________________________________________ 
Phone:_____________________ Sex:   M     F     USAT # ___________ XTERRA ID # ______________

E-Mail address:______________________________________________________Shirt size:  M   L  XL

Amout enclosed: $  ______________________    
NO REFUND OF TRANSFER
Mail this Application to:
Green Brook Racing, LLC PO Box 825Green Brook New Jersey 08812-0825
Please make check payable toGreen Brook racing, LLC


Patanella's
King of the Hill Off- Road Triathlon a XTERRA
Points Series Race May 18th, 2008 10:00 AM
Male 5 year age groups
Female 5 year age groups
Clydesdale ( male over 200 LBS)
Entry FEE:
$ 70 Up to 30 days before
$75 30 days before and day before race
$ 80 race day
$ 80 relay X2 $ 90 X3
$ 10 USAT fee for one day pass if not member.
Patanella's
King of the Hill off- Road Duathlon May 18th  2008 10:00 AM
Male 5 year age groups  20 to  50 yrs old
Female 5 year age groups 20 to  50 yrs old
Clydesdale ( Male over 200 LBS)
Entry FEE:
ALL RACERS MUST BE USAT MEMBER OR PAY $ 10 ONE DAY FEE
$ 60 Up to 30 day before
$ 65 30 Days before
$ 70 race day
Relay $ 80 X2 $ 90 X3
*******************WAIVER*******************
In consideration of this entry, I hereby signify my understanding that Green Brook Racing LLC and Round Valley Recreation area, and all other organization associated with this event are not held responsible for any injuries which I may suffer from the connection. I hereby waive any claims for damages to my person or property. I further attest to being physically capable of particiption in this event.
Signature of participant:__________________________________________Date:____________________

Signature of parent or guardian under 18 yrs old:___________________________________________ 

Date:___________________________