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CRUX SUMMER SEND FEST 2017

First Name:        Last Name:

Address:

 City: State: Zip Code:

 Home Phone: :      Cell Phone:

  E-Mail Address:

 For competitors under the age of 18 years old

     Parent Name:      Parent Phone:

     Parent E-Mail Address:

 Competition Category

    Gender
     Male
     Female

      Current Age:         Date of Birth:
    

    Skill Level
      Recreational
      Intermediate
      Advanced
      Open

Competition T-Shirts

        Please enter size below. (Correct size is not guaranteed.)

         Youth Shirt
        Small
        Medium
        Large
        Extra Large

            Adult Shirt
           Small
           Medium
           Large
           Extra Large

 
After submitting form, return to Crux home.
To make payment, click on the Crux Summer Send Fest Comp 2017 link.