| ------------------------------------------------------- Registration
Form: Bib #_______Gate______
January 19, 2008
Race Classification:
Please fill out this form carefully-Mark the appropriate RACE
48K_____48k Classic____24k Classic____24k____10k____
Name__________________________________
(First, Last)
Address_______________________________
_______________________________
_______________________________
Telephone: (
) _______________
Male ____ Female____
Estimated Finish time _________(for freestyle races only
Age______(as of
01/20/07) Birthdate___________________
U.S.S.A. Member: Yes____
No_____U.S.S.A. #________________
#Needed for Banquet ______ (fee is
$10 adults, $7 kids)
Skier classification as of
January 19, 2008
No changing of races after 01/12/2008.
Athlete
Release: Please read and sign
I, the undersigned, know that alpine and
nordic skiing are action sports carrying significant risk of personal injury.
Racing, jumping or freestyle competition are even more dangerous. I know that there
are natural and man-made obstacles or hazards, surface and environmental conditions, and
risks which in combination with my actions can cause me very severe or occasionally fatal
injury. I agree that I, and not the ski area or its staff or USSA (USSEF & USST)
and /or it's clubs, officials, staff and East Range Cross Country Challenges, Inc.
officers, officials and staff, am totally responsible for my safety while I participate in
or train for these events. Any photos taken of skiers can be used by ERCCCI in publicity ads.
________________________________
_______________
(Signature)
(Date)
(Parental Signature required for entrants under 18 years of age)
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Mail Registration and fees to: : Pepsi Challenge Headquarters
East Range Cross Country Challenges, Inc.
PO Box 505
Biwabik, MN 55708 |