The 10th Annual Occoquan Chase
Official Entry Form

Sunday, October 13, 2002
12:00-4:00 p.m.
Sandy Run Regional Park, Lorton, VA

Entries must be received no later than

September 25, 2002.

Mail Entry Form to:
MSN 3A5, GMU Crew Club
Attn: Bob Spousta
Intercollegiate Athletics
George Mason University
Fairfax, VA 22030-4444		 Entry Fees:
Singles Scull ... $20
Doubles Scull ... $30
Four with Cox ... $40
Eight with Cox ... $60
Mixed Eight ... $30

Make check payable to George Mason University. (Federal Tax ID #54-0836354)

Name of Club, School or Town (if unaffiliated): _________________________

Contact Person: _________________________________________________

Contact Phone Number:(____) ____________________________

Street Address: __________________________________________________

City: ________________________________State:_____ ZIP:____________

E-Mail Address:___________________________

Entries

(Refer to the Race Schedule to complete entry information.)

 

Event #

Event Division
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

jbarret4 8-23-01