Inferno Dynamic Duo Form

Inferno Dynamic Duo Registration
Any Team Of 2 Can Participate
( * indicates required information)
ALL TEAM MEMBERS MUST REGISTER INDIVIDUALLY

Submission of this form implies acceptance of Race Release & Model Release

Team Captain
Full Name: *
Gender: *
Birth date: *
Age * (Race Day)
Email: *
Day Phone:	Ext.
Evening Phone:	Ext.
Address 1: *
Address 2:
City: *
State: *
Zip: *
Country:
T-Shirt Size?
Need Lodging?	Yes No Lodging info at www.mwvacc.com.
Awards Dinner	Do you need extra dinner tickets? Tickets are $16 Each These will be billed separately to your credit card
Do you need extra T-Shirts?	Extra T-Shirts are $20 Each These will be billed separately to your credit card
Registration Fee: *	Select Fee Type Fee includes registration and handling, one T-Shirt and one Dinner Ticket at Awards.
Comments:	Please include any questions you might have.