Entry Form (Print out entry form to mail in.) Or register online at active.com
Circle Your Category: (Age as December 31, 2010)
| 1. Pro Men | 19. (Beginner) Cat 3 Men 35-44 |
| 2. (Expert) Cat 1 Men 18 & under | 20. (Beginner) Cat 3 Men 45-54 |
| 3. (Expert) Cat 1 Men 19-34 | 21. (Beginner) Cat 3 Men Men 55+ |
| 4. (Expert) Cat 1 Men 35-44 | 22. Pro Women |
| 5. (Expert) Cat 1 Men 45-54 | 23. (Expert) Cat 1 Women 18 & under |
| 6. (Expert) Cat 1 Men 55+ | 24. (Expert) Cat 1 Women 19- 34 |
| 7. Pro Single Speed | 25. (Expert) Cat 1 Women 35-54 |
| 8. Expert Single Speed | 26. (Expert) Cat 1 Women 55+ |
| 9. Sport Single Speed | 27. Pro Women Single Speed |
| 10. (Sport) Cat 2 Men 18 & under | 28. Women Single Speed |
| 11. (Sport) Cat 2 Men 19-34 | 29. (Sport) Cat 2 Women 18 & under |
| 12. (Sport) Cat 2 Men 35-44 | 30. (Sport) Cat 2 Women 19-34 |
| 13. (Sport) Cat 2 Men 45-54 | 31. (Sport) Cat 2 Women 35-54 |
| 14. (Sport) Cat 2 Men 55+ | 32. (Sport) Cat 2 Women 55+ |
| 15. Clydesdale (200 lbs+) | 33. (Beginner) Cat 3 Women 18 & under |
| 16. (Beginner) Cat 3 Men 13 & under | 34. (Beginner) Cat 3 Women 19-34 |
| 17. (Beginner) Cat 3 Men 14-18 | 35. (Beginner) Cat 3 Women 34-54 |
| 18. (Beginner) Cat 3 Men 19-34 | 36. (Beginner) Cat 3 Women 55+ |
Make Checks Payable To: Howell Mountain Challenge
Mail Entry Forms To: Howell Mountain Challenge, Pacific Union College, One Angwin Avenue, Angwin, CA 94508
Circle One: Early Registration $35 (Postmarked August 2, 2008)
Same Day Registration $40
| Name:__________________________________________ | |
| Address:________________________________________ | |
| City:___________________________________________ | |
| State:_______________Zip_________________________ | |
| Telephone: ( )_________________________________ | |
| NORBA #:______________________________________ | |
| Team/Club:_____________________________________ | |
| Email Address:__________________________________ | |
| I understand I must sign a release form at Race Day Registration: | |
| (Signature Required)________________________________ |