	Big Piney Slalom Race Registration
	Fill out this form then send it to the address below or bring with you on race day.
	Don Walls 261 Stone lane Dover, Ar.72837
	Check the class you will be participating in below.
		Recreational			Race			Junior
	Personal Information
	First name
	Last name
	Street address
	City
	State/Province
	Zip/Postal Code
	Country
	Phone
	E-mail

	Race Fees
Adults-$10.00 Juniors-$10.00 If you can get the whole family involved $30.00 total ( $5.00 additional for non-ACA members )