|
2008 Entry Form
Check one: BIKE______ SKI_______ FOOT______ NAME: ___________________________________________________________ AGE: ________ SEX: ________ DATE OF BIRTH:_______________________ ADDRESS:_______________________________________________________ CITY: __________________________________________________________ STATE: ___________________ ZIP: ________________ COUNTRY:____________________________________________________ HOME PHONE: ________________________________________________ WORK PHONE: ________________________________________________ E-MAIL: _______________________________________________________ EMERGENCY CONTACT PHONE: ___________________________________
This Is A Release Of Liability I accept and clearly understand that there are risks involved in the activities of this race that include but are not limited to winter-camping, biking, running, skiing, snowshoeing, and snowmobiling. Including, by way of example and not limitation, the encounter of moose, buffalos, wolves, avalanches, overturning ice rocks, frostbite, dehydration, hypothermia, falling through thin ice, and getting run over by a snow machine. I understand that there are more hazards than are enumerated here, and that there are unknown and unforeseeable hazards. I engage in the activity of this race/adventure with knowledge of the inherent risks of injury. I agree to participate at my own risk. I therefore, myself, my heirs, successors and representatives hereby knowingly and intentionally waive and release, and agree to indemnify, hold harmless, and defend the race organizers and race volunteers, or their estates from any and all liability for any and all such damage, injury to myself or to any other person or property, including travel to and from Anchorage. I understand the risks of winter sports, winter-camping, biking, running, skiing, snowshoeing, and snowmobiling and I have carefully read, understand and voluntarily accept the terms of this waiver and release agreement.
SIGNATURE OF ENTRANT: ________________________________________________ DATE:____________
Money sent by wire must include wiring fees! Please contact us for bank wire information.
Checks need to be made out to Alaska Ultra Sport Print
out this form, provide all information on blank lines,
Alaska Ultra Sport
Race to McGrath
Race To Nome This
website was designed by Larson Graphics |