The undersigned states to be a knowledgeable and accomplished boater. If injury, loss, or death results to the undersigned or any member of his party, the undersigned assumes all risk of loss, damage, bodily injury and death and agrees to hold harmless Turner Bend Inc. The undersigned states that he (she) has read and understands all provisions of this agreement and is bound by said statements.

NAME________________________________________________________
ADDRESS_____________________________________________________
CITY________________________STATE___________ZIP_____________
EMAIL ADDRESS______________________________________________
SIGNATURE___________________________________________________
T-SHIRT SIZE (Circle One): S M L XL XX

NAME________________________________________________________
ADDRESS_____________________________________________________
CITY________________________STATE___________ZIP_____________
EMAIL ADDRESS______________________________________________
SIGNATURE___________________________________________________
T-SHIRT SIZE (Circle One): S M L XL XX

CATEGORY (Circle One):
SLACKER (not competing)
WOMEN’S SOLO
WOMEN’S TANDEM
WOMEN’S KAYAK
MEN’S KAYAK
PARENT/CHILD (child must be under 15)
MEN’S SOLO CANOE
MIXED TANDEM CANOE
GEEZER TANDEM (must be over 50)
MEN’S TANDEM CANOE

$15.00 PER PERSON ENTRY FEE
SEND TO: TURNER BEND INC.
20034 N HWY 23
OZARK, AR 72949
(479) 667-3641