2008 MILE-HIGH DUATHLON SERIES
Entry Form
(Please print carefully)
NAME:__________________________________________________
ADDRESS:_______________________________________________
CITY:____________________________ STATE:____ ZIP:________
EMAIL:_________________________________________________
PHONE:_________________ SEX: ____ BIRTHDATE:__________
Team Name (for relay teams)________________________________
SHIRT SIZE: XS - S - M - L - XL - XXL
Short Sleeve Technical Shirt, Unisex Sizing
Entry Must Be Received by early registration deadline to guarantee shirt size for that race
Club or Training Program Affiliation (Are you a member of a club, or are you taking part in an organized group-training program? Let us know!)
__________________________________________________
DIVISIONS (please check one):
___ Age-Group Individual (not eligible for prize money)
___ Elite Individual (not eligible for age-group awards)
___ Fat Tire (Must Ride MTB - will not be scored in age-group)
___ Clydesdale Age 39 & Under (male 200+ pounds - will not be scored in age-group)
___ Clydesdale Age 40 & Over (male 200+ pounds - will not be scored in age-group)
___ Athena (female 150+ pounds - will not be scored in age-group)
___ Female Relay Team (must send in entries together)
___ Male Relay Team (must send in entries together)
___ Coed Relay Team (must send in entries together)
PLEASE CHECK ALL THAT APPLY:
___ Barkin' Dog Duathlon: SOLD OUT
___ Big Sky Duathlon
___ Cabbage Head Duathlon
___ Entire Series: REGISTRATION CLOSED
Please make checks payable to "Racing Underground" and mail to:
PO Box 7042, Golden, CO 80403
Entries will not be taken by phone or fax. Please see our refund policy regarding refunds and transfers of entry.
Entry Limits:
* Barkin' Dog - 500 entrants
* Big Sky - 350 Entrants
* Cabbage Head - 300 Entrants
There will not be a waiting list
ENTRY FEES |
Barkin' Dog Duathlon
May 10, 2008 |
Big Sky Duathlon
June 7, 2008 |
Cabbage Head Duathlon
July 12, 2008 |
Individuals Before April 18: $45
Relay Teams Before April 18: $60
|
Individuals Before May 16th: $40
Relay Teams Before May 16th: $50
|
Individuals Before June 23rd: $40
Relay Teams Before June 23rd: $50
|
Individuals 4/19-5/8: $55
Relay Teams 4/19-5/8: $75
|
Individuals 5/17-6/05: $50
Relay Teams 5/17-6/05: $65
|
Individuals 6/24-7/10: $50
Relay Teams 6/24-7/10: $65
|
There will be No
Race-Day Registration
|
There will be No
Race-Day Registration
|
There will be No
Race-Day Registration
|
Enter Entire Series by April 1st For Just $115 for Individuals or $150 for Relay Teams.
|
Waiver Statement: I acknowledge that this athletic event is an extreme
test of a person's physical and mental limits and carries with it the
potential for death, serious injury and property loss. The risks include,
but are not limited to, those caused by terrain, facilities, temperature,
weather, condition of athletes, equipment, vehicular traffic, actions of
other people including, but not limited to, participants, volunteers,
spectators, coaches, event officials, and event monitors, and/or producers
of the event, and lack of hydration. These risks are not only inherent to
athletics, but are also present for volunteers. I hereby assume all of the
risks of participating &/or volunteering in this event. I realize that
liability may arise from negligence or carelessness on the part of the
persons or entities being released, from dangerous or defective equipment
or property owned, maintained or controlled by them or because of their
possible liability without fault. I certify that I am physically fit,
have sufficiently trained for participation in the event and have not been
advised otherwide by a qualified medical person. I acknowledge that the
Accident Waiver and Release of Liability form will be used by the event
holders, sponsors and organizers of the event in which I may participate,
and that it will govern my actions and responsibilities at said events.
In consideration of my application and permitting me to participate in this
event, I hereby take action for myself, my executors, administrators,
heirs, next of kin, successors, and assigns as follows: (A) Waive, Release
and Discharge from any and all liability for my death, disability,
personal injury, property damage, property theft or actions of any kind
which may hereafter occur to me including my traveling to and from this
event, THE FOLLOWING ENTITIES OR PERSONS: Darrin & Jill Eisman, Racing
Underground, Town of Kenesburg, Town of Wiggins, Town of Bennett, Arapahoe County, Adams County, Morgan County, Weld County, State of Colorado, their
directors, officers, employees, volunteers, representatives, and agents,
the event holders, event sponsors, event volunteers; (B) Indemnify and
Hold Harmless the entities or persons mentioned in this paragraph from any
and all liailities or claims made as a result of participation in this
event, whether caused by the negiligence of releases or otherwise. I
hereby consent to receive medical treatment which may be deemed advisable
in the event of injury, accident and/or illness during this event. I
understand that at this event or related activities, I may be photographed.
I agree to allow my photo, video or film likeness to be used for any
legitimate purpose by the event holders, producers, sponsors, organizers
and assigns. The Accident Waiver and Release of Liability shall be
construed broadly to provide a release and waiver to the maximum extent
permissible under applicable law. I hereby certify that I have read this
document; and, I understand it's content.
Name_______________________________________ Age_________
Signature ________________________________ Date ____________
(if under 18 years old, Parent or guardian must also sign)
PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old) The undersigned
parent and natural guardian does hereby represent that he/she is, in fact,
acting in such capacity and agrees to save and hold harmless and indemnify
each and all of the parties referred to above from all liability, loss,
cost, claim or damage whatsoever which may be imposed upon said parties
because of any defect in or lack of such capacity to so act and release
said parties on behalf of the minor and the parents or legal guardian.
Print Participant's Name____________________________________ Age _________
Signature of Parent or Guardian _____________________________ Date_________