Registration Form
Four
Crown Quest 2007
Please print this
form and mail with cheque before August 12, 2007 to:
Four Crown Quest
P.O. Box 427
Atlin BC
V0W 1A0
Please print clearly
Name
(1)...........................................................................................................One
day / Two days
Sex.....M.....F.............. Birth date...................................................................Single
/ Double / Mixed
Address......................................................................................................
......................................................................................................................
Phone.....................................Email..........................................................
Name (2)...........................................................................................................One
day / Two days
Sex.....M......F...............Birth date..................................................................Single
/ Double / Mixed
Address......................................................................................................
.......................................................................................................................
Phone.....................................Email..........................................................
If
17 years or younger, the participant must be accompanied by a parent.
How many
of you are attending the Closing Banquet? .................
Please register before August 12.
Your registration fee at $55 per person (2-day event).: $55 x ................=
$............
Your registration fee at $45 per person. (1-day event): $45 x .................=
$...........
After Race dinner $20x................= $.............
Total payment enclosed..................................................$..........
Mail to: Four Crown Quest, Box 427, Atlin BC, V0W 1A0.
Makes
cheques payable to Atlin Ski Club.
In case of cancellation there will be no refunds.
Assumption of Risk & Release of Liability:
I understand that
this Triathlon is an activity that involves risk of personal injury. I recognize
that there are natural and manmade obstacles or hazards, surface and environmental
conditions and risks which may cause me injury or even death.
In return for accepting my entry to the Four Crown Quest I release and waive
all claims against Atlin Four Crown Quest, the organizers and volunteers
of this event, from any and all loss, damage, expenses or injury, including
death, whether by way of neglicence or otherwise, which I or my heirs or
assignees may suffer as a result of my participation in the Four Crown Quest.
By signing I agree I have read the above and understand it.
Date...........................................................................
Name (1) ( printed)........................................................................
Name (2) (printed).........................................................................
Signature (1) (if 18 years or older)...........................................................................................
Signature (2) (if 18 years or older)............................................................................................
Signature of Guardian (if the participant(s) is/are 17 years or younger)...............................................................................................
Signatures on this waiver
also give organizers and sponsors the right to use photographs taken during
this event in any promotional material.
Part of the route is on a public road which will not be closed for this
event. Watch out for bikers and use extra caution when you cross the road
on the route as there could be light traffic.