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       Wonalancet Fun 
      Run Entry Form 
		
		I have read the Code of Ethics and 
		understand the rules as stated and agree to follow them. 
		 
		By signing this document:  
		I agree to HAVE FUN and will not hold the North Country Mushers, land 
		owners or race committee members liable for any reason whatsoever. I 
		further agree to abide by the rules governing this race and understand 
		that the Chief Race Marshall has the final decision and will abide by 
		that decision. 
  
      
      
      __________________________________________________________________________ 
      Driver and 
      or Parent/Guardian's Name* (* if driver under the age of eighteen years of 
      age) 
       __________________________________________________________________________ 
      Signature 
       
      
      __________________________________________________________________________
       
      Address
       
       
      
      __________________________________________________________________________
       
      Email 
      Address  
       
      
      __________________________________________________________________________
       
      Event/Class 
      to be entered (circle one)  
       
      8 dog 15 
      miles = $25.00  
      4-6 dog 15 
      miles = $25.00  
      skijor 15 
      miles = $25.00 
		
		NCM 
		Membership ($15 individual / $25 family*): _______ 
		
		 
		 
      
      ___________________________________________________________________________
       
      All 
      Siberian Husky Team (Y/N) 
      
      
       Mail Entry Form and Monies to the Race Secretary: 
      
      Checks made out to North 
		Country Mushers 
      Corina 
      Alexander 
      67 Eastman 
      Hill Road 
      
      
      Sanbornton, NH 
      03269  
       
       
      ENTRY 
      DEADLINE: Wednesday, February 19th. Entries will not be 
      taken after this date. This is for trophy reasons. SEND IN YOUR ENTRY 
		BEFORE Wednesday, December 25th, and pay only $15.00 per team!  
      
       Office use only:      Check 
      number________________________________________________ 
        
      
     
  
  
  
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