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Assault on Black Rock III Entry Form

Mail To: Brian Barwatt 2077 Bettys Creek Road Sylva NC, 28779 Name:____________________________________Email:______________________________
(Email confirmation will be sent when check received in mail; please write legibly)

Address:______________________________________________________________________ Age (as of March 16 th, 2013):____________Gender:____________Phone #:____________ T-shirt size (please circle one): S M L XL XXL ___________________________________________________ Fee (includes T-shirt): Preregistration = $25 (by mail), Race day registration = $30 Or visit: www.active.com to preregister ($3.25 fee) *Please make checks payable to ABRTR* - Date & Time: Saturday, March 16th 2013 @ 9am sharp - Pre-register: 7am-8:45 am, Gather @ Starting Line @ 8:45am - Place: Fisher Creek parking lot, Sylva NC - For more information: call 828-506-2802 or email barwatt@hotmail.com - All proceeds go to the Community Table in Sylva, NC - All participants will be required to sign a liability waiver at check in - Minors (under 18) will need a parent/legal guardians signature at check in
Directions: From Asheville, head west on I-40 and get off at exit 27 towards Waynesville (US 74 west/US 23 south). Stay on US 74 west/US 23 South for approximately 21 miles. Just before on-ramp for exit 85, turn right onto Steeple Road (S.R. 1527) at BP gas station (just past the Sylva Inn). Travel 0.2 miles to a stop sign and turn left onto Skyland Drive (S.R. 1432). Travel 0.5 miles and turn right onto Fisher Creek Road (S.R. 1446). Travel 2.1 miles to the end of Fisher Creek Road and a gravel parking lot. From Franklin/Bryson City, head north on US 23 or east on US 74 respectively to convergence of US 23 and US 74 in Dillsboro, NC. Continue approximately 4 miles on US 74 east/US 23 north and turn left onto Steeple Road (S.R. 1527) at BP gas station (first left after you go under on-ramp for exit 85). Travel 0.2 miles to a stop sign and turn left onto Skyland Drive (S.R. 1432). Travel 0.5 miles and turn right onto Fisher Creek Road (S.R. 1446). Travel 2.1 miles to the end of Fisher Creek Road and a gravel parking lot.