24 Hours…the Run Registration Form
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Race(circle
all that apply): Moab Laramie Boulder Please
complete the entry form and send along with payment to : Gemini
Adventures 3506 Feather
Reed Longmont, CO
80503 TEAM NAME (mandatory): _______________________________ Circle your
Category: 12 Hour Solo ‑ Male/Female - $85 12 Hour Duo ‑ Male/Female/Co ed - $75/person Solo ‑ Male/Female - $100 Extreme Team (3‑5) ‑ Male/Female/Co ed - $80/person Corporate Team (3-5) - Co ed - $80/person Open Division (6-10)Co Ed - $70/person *Add $10 per person after February 1st for *Subtract $10 per person for multiple race discount. Amount Enclosed (total team cost): $____________ (prices are good until the day before
each race, race-day registration is an additional $10) With
my signature I agree to the following: A
physical examination is not required to run the 24 Hours...the Run but all
competitors compete at their own risk. I understand that it is recommended
that if I am in doubt as to my physical condition to engage in an event as
strenuous as a trail 24 hour race, I will seek the advice of a competent
physician and abide by his/her advice. I assume all risks associated with
running in this event including but not limited to: falls, contact with other
participants or animals, the effects of the weather including high heat
and/or humidity, and the condition of the trail, as such risks being known
and appreciated by me. Having read
this waiver and knowing these facts and in consideration of 24 Hours...the
Run accepting my entry, I for myself and anyone entitled to act on my behalf,
waive and release 24 Hours…the Run and its organizers, Parks and Recreation,
all sponsors, their representatives and successors from claims or liabilities
of any kind arising out of my participation in this event though that
liability may arise out of
negligence or carelessness on the part of the persons named in this waiver.
Further, I hereby grant full permission to any and all of the foregoing to
use photographs, videotapes, motion pictures, and recordings of me, or any
other record of this event, for any legitimate purpose. All persons under 18
must have a written consent of a parent or legal guardian. Team Captain (mandatory) Name:__________________________________________________ Mailing
address________________________________________________ City________________________________________________ _________ State_____Zip___________ Day
Phone__________________________________________ Night Phone_________________________________________
E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________ Team Mate #2 Name:_____________________________________________________ Mailing
address_________________________________________________ City__________________________________________________________
State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
(mandatory)_____________________________________ Sex_______ T-Shirt Size:
(Circle One) M L XL Signature__________________________________________Date________ Team
Mate #3 Name:_________________________________________ Mailing
address________________________________________________ City__________________________________________________________ State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail ______________________________________________
Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________ Team
Mate #4 Name:_______________________________________________ Mailing
address________________________________________________ City__________________________________________________________ State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________
Team
Mate #5 Name:__________________________________________________ Mailing
address_________________________________________________ City__________________________________________________________
State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail ______________________________________________
Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________ Team
Mate #6 Name:___________________________________________________ Mailing
address________________________________________________ City__________________________________________________________ State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________
Team
Mate #7 Name:__________________________________________________ Mailing
address_________________________________________________ City__________________________________________________________
State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________ Team Mate #8 Name:__________________________________________________ Mailing
address________________________________________________ City__________________________________________________________ State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________
Team
Mate #9 Name:_________________________________________________ Mailing
address_________________________________________________ City__________________________________________________________
State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________ |
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Team
Mate #10 Name:_________________________________________________ Mailing
address_________________________________________________ City__________________________________________________________
State_____Zip___________ Day
Phone__________________________________________ Night
Phone_________________________________________ E Mail
______________________________________________ Sex_______ T-Shirt
Size: (Circle One) M L XL Signature__________________________________________Date________ |
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