Shootout Registration

Name: Shootout Registration
SKU: 19329
Availability: InStock

"*" indicates required fields

Note: Required Fields! Fields with a red * denotes a required field. If you do not have anything to enter into that field, simply put a "0" or type "Zero".

DRIVER'S NAME*

First Last

DRIVER'S ADDRESS*

Street Address Address Line 2 City State ZIP Code

Driver's Email Address*

Driver's Cellphone Number*

EMERGENCY CONTACT'S NAME*

First Last

Emergency Contact's Cellphone Number*

BOAT INFORMATION:

BIO, including number of years you have participated in the Shoot-Out:

Boat Name:*

Boat Information Year:*

Boat Information Make:*

Throttle Man Name (if any):

Division (select one):*

Hull Type (select one):*

Length (select one):*

Number of Engines:*

Engine class (select one):*

Engine Size:*

Drive Type:*

Modifications:

Port of Call:*

Safety: VHF Radio? (mandatory)*

Safety: Emergency Exit Hatch?*

Safety: Restraint System?*

Safety: Fire Extinguisher System?*

REGISTRATION FEE:

Have you participated in a Texas Outlaw Shoot-Out in the past?*

Shoot-Out Entry Fee:*

Price:

Complimentary/Free

Shoot-Out Entry Fee Waived:*

Price:

Rules & Regulations*

I have read, understand, and agree abide by the Texas Outlaw Challenge Rules & Regulations

Liability Waiver*

I have read, understand, and agree to the terms of the Liability Waiver

After your purchase, you will be sent an order confirmation email - you must print this and bring it to the event. For further information, please call us at: (281) 702-8744. For help with the website or forms, you can contact us at: paul@TexasOutlawChallenge.com

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Shootout Registration

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