2004 Kachemak Marathon
Sunday March 14, 2004
Registration Form 

Kachemak Nordic Ski Club
Marathon Entry
PO Box 44
Homer, AK 99603

For Additional Information contact:
Wayne Watson, 235-4283 watson@xyz.net
Kenton Bloom (Junior Nordic) 235-6600 seabright@alaska.net

 20km___ 42km___

Name__________________________________________

Address________________________________________

City___________________________State_____Zip__________ 

Phone number(optional)____________email(optional)_______________ 

Age______ 

Fee Schedule: $25 early registration  $30 Late registration

Mail in until March 10. Send to:
KNSC
Marathon Entry
PO Box 44
Homer, AK 99603

Total enclosed: $____________ 

No refunds for any reason including cancellations due to weather.
All entries must be accompanied by a signed waiver form. 

Official Use only

 Bib number_______________

 Check number_____________

 Amount paid $_____________