 |
|||
 |
 |
 |
 |
| ENTRY FORM SALOMON 24 Hrs of Frisco — "team relay or solo trail run" Frisco, CO Register online for the SALOMON 24 Hrs of Frisco at www.active.com OR Please print and complete the entry form below (photo copies are acceptable) and mail with your check (please make payable to Event Marketing Group LLC) to: SALOMON 24 Hrs of Frisco c/o Event Marketing Group LLC 14128 Blue River Trail Broomfield, CO 80023 Solo (male/female) $135 (24 hr) or $55 (6 hr) 3-4 Person Team 24 hr only (coed/male/female) $395 6-8 Person Team 24 hr only (coed only) $595 Fees are through September 10; please add late fee $10/solo and $25/team, September 11 –18. DEADLINE FOR ENTRY IS SEPTEMBER 18-The event will take place regardless of weather, therefore, no refunds will be provided. TEAM NAME includes SOLO’s (mandatory) _______________________________________________ Please check your team category Solo Male____Female_____24 Hr_____6 Hr________ 3-4 Person Male____Female_____Coed_____ 6-8 Person Coed only_____ Team Captain/Solo (mandatory) (6 Hr, 24 Hr , 2-4 person, 6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) Team Mate (3-4 person, 6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) Team Mate (3-4 person, 6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) Team Mate (6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) Team Mate (6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) Team Mate (6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) Team Mate (6-8 person) ___________________________________ last first Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ Night Phone__________________________ E Mail (mandatory)_______________________ Sex_______Age_______(as of 9/22/07) TOTAL ENCLOSED$_______ $25 charge will be assessed for returned checks Team Captain Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Team Mate Signature ______________________________Date__________ Parent or Guardian (if under 18 years of age) ______________________________Date__________ Waiver - In consideration of my entry, I, intending to be legally bound for myself, my executors, administrator and assignees, do hereby waive and release the sponsors of this event and all persons and agencies connected with this event from all claims for damages, injuries or death, arising from my participation in and the travel to and from this event. I recognize that I may become injured or incapacitated in a location where it is difficult for management to get required medical aid to me in time to avoid physical injury or even death. I also certify that I am physically fit and adequately trained to participate in this event. I also understand and agree that a sponsor may subsequently use for publicity and/or promotional purposes my name and/or pictures of me participating in this event without obligation or liability to me.  © 2007 Event Marketing Group LLC |
FEATUREDEVENTS |