Withdrawal Form

Use the online form below, or fill out the PDF version of the Withdrawal form and mail or fax it in.

*required fields

	*First Name
	*Last Name
	*Address
	*Apt/Suite No.
	*City
	*Province/State
	*Postal Code/Zip Code
	*Country
	*Daytime Phone
	Evening Phone
	*Email Address
	Withdrawal Agreement: By filling out and submitting this form, I hereby acknowledge and certify that I am the legitimate entrant named in the form and, as such, am the authorized recipient of the applicable refund as indicated in the form. I understand and agree by submitting this form, I will not be able to reinstate my entry for the race, and further, will forfeit all rights and privledges as an official participant in the race for which I have submitted the form. By checking the I accept box below, I acknowledge, certify and agree that I have read, understood and agree to the terms and conditions outlined above. I accept: