2002 Greenway Challenge April 27th, 2002 North Chickamauga Creek Greenway Chattanooga, Tennessee Entry Form (Must be at least 16 years old. Entries must be received by April 22, 2002.)

Team Name: ______________________________________________  Co-ed__  Same Sex__ (Note: Team names may be rejected if deemed inappropriate)             Will Supply Own Canoe(Y/N):__

Team Member #1 (Team Captain and Main Contact)

Name: _________________________________  Sex (M/F): ___

Address: ____________________________ City, State, Zip: _______________________

Email: ________________________________ Date of Birth: _________ T-shirt Size: ____

Phone: _______________ Emergency Contact/Phone: _____________________________

Team Member #2

Name: _________________________________  Sex (M/F): ___

Address: ____________________________ City, State, Zip: _______________________

Email: ________________________________ Date of Birth: _________ T-shirt Size: ____

Phone: _______________ Emergency Contact/Phone: _____________________________

Team Member #3

Name: _________________________________  Sex (M/F): ___

Address: ____________________________ City, State, Zip: _______________________

Email: ________________________________ Date of Birth: _________ T-shirt Size: ____

Phone: _______________ Emergency Contact/Phone: _____________________________

Team Information, Experience, Accomplishments, Interesting Facts, Etc.:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Mail completed entry form and $100 check payable to "NCCC" to: North Chickamauga Creek Conservancy • P.O. Box 358 • Hixson, TN 37343

A $50 refund will be awarded if you cancel before 3/27/02. You will be notified immediately and given a 100% refund if your entry form is received after all 50 slots have been filled. Race officials reserve the right to reject teams or team members for any reason up to and including the day of the race. A refund may or may not be awarded depending on the circumstances. Each team member will be required to sign a standard liability waiver on the morning of the race.