Bop to the Top - February 2, 2008
Web Entry Form - Limited to the first 1,500 entrants - NO RACE DAY ENTRIES

Name:___________________________________  Age on 2-2-08:______r Male r Female

Street:_______________________________________________________________________

City:________________________________________State:_____________ Zip:___________
Day Phone:_________________________ Evening Phone:___________________________
E-mail address ______________________________________________________________

Long Sleeve T-Shirt size: r S r M r L r  XL  r XXL
Fees:  Individual  - $20.00 (after January 26 - $25)
 r Enter me in the Triple Step Division - $30.00 (after January 26 - $35)
Teams - $84 ($21 per person) - after January 26 $100
q    Enter me in the Big Guy/Gal Division (males 200-224 lbs - female 150+)
q Enter me in the Big Big Guy Division (225-249 lbs)
 q Enter me in the Big Big Big Guy Division (250+ lbs)
TEAM CATEGORY ____________________________
TEAM NAME _______________________________________ (Send team entries together)

CHECKS ARE PAYABLE TO: Tuxedo Brothers

Yes, I wish to be seeded.   My stairclimb time is _______  My 5K run time is _________
Note: Non seeded individuals will be grouped at the end of the day.
Mail completed entry form and entry fee to: 
Tuxedo Brothers, 6265 Boone Ridge Road, Zionsville, IN 46077

RACE PARTICIPATION AGREEMENT:

THIS FORM MAY BE DUPLICATED. NO REFUNDS UNLESS FIELD IS FULL. ALL ATHLETES WILL BE REQUIRED TO SIGN AN ACKNOWLEDGEMENT, WAIVER AND RELEASE FROM LIABILITY FORM AT PACKET PICK-UP. PARENT WILL BE REQUIRED TO SIGN THIS IF ATHLETE IS UNDER THE AGE OF 18. MAKE SURE ALL TEAM ENTRIES ARE MAILED TOGETHER.

Signature_______________________________________________ Date __________________

Parent’s or Guardian’s Signature if under age 18__________________________________________ Date ______________
Incomplete/unsigned entries will not be accepted. - Entry form can be copied.  - Deadline for mailing- must be postmarked by January 28th.