Sunday, October 13th, 2002
RACE INFORMATION ENTRY FORMOR
Sunday, October 13th, 2002
Breakaway Sports will be hosting a two person team adventure race at French Creek State Park. The race will be held rain, snow or shine.
Registration: Deadline is Sept. 30th or when field is full.
Race starts at 9am. (Pre race meeting at 8:15am).
Race limit: Race is limited to the first 50 teams.
Divisions: Coed, male, female and masters (both members 40+).
Race details: Mt. Bike leg: 11 miles.
Running leg: 6-7 miles
Canoe leg: 2 miles
Entry fee: $110 per team
The goods: Long sleeve race shirt, plus other goodies and hot food.
Includes: One day boat permit, canoes, life vest and paddles. (There is no park fee).
Awards: First place team in each division.
2nd and 3rd place teams in each division.
(Based on number of teams – 5 and 10 per div. respectively).
Support: You will be totally self sufficient. The course will take you through the transition area for needed changes.
Directions: French Creek State Park is located just south of Birdsboro, PA on
Rte. 345. It is about 10 miles outside of Reading, PA. Once in the park, look for signs to race.
Course: The French Creek trails offer a little bit of everything: Rocks, dirt, trees, bridges, flat sections, hills and did I mention rocks?
(To print the waiver only, please select contract below and "print selection" under your print options.)
WAIVER / HOLD HARMLESS CONTRACTUAL AGREEMENT:By signing this contractual agreement I acknowledge the fact that participating in the French Creek Fling is a potentially hazardous activity and I am competing with full knowledge of all potential risks and injuries. I will not enter and race unless I am medically able and properly conditioned and trained for the level of competition that I aspire to. I also know that, although, some safety protection via course officials will be provided, there can be many hazards on the course route. I also assume any and all other risks associated with this event including but not limited to falls, contact with other participants, the affects of weather, including high heat and or humidity, the condition of the roads and all risks being known and appreciated by me. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge Breakaway Sports Marketing, Officials of the event and any other sponsors or associated organizations, including their Police Department; Emergency Radio Systems; Race Officials, Volunteers, or any of the employees, agents, assignees or anyone acting on or for their behalf, from any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever arising out of, or the course of, my participation in this event known as the French Creek Fling. All costs incurred for medical assistance, be it ambulance, hospital, etc., is my sole responsibility and my financial liability. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permissions to the race organizers, sponsors, producers, and directors and or agents authorized by them, to use any photographs, videotapes, motion pictures, sound recordings, or any other record of this event for any purpose, be it promotional for remuneration to the aforementioned parties, without financial or other compensation or royalties to the event participant named herein. Applicants understanding and agreeing to this Waiver / Hold Harmless Contractual Agreement as specified herein and the rules of the event and decision of race officials should sign the entry form on the space provided below. I also agree that I am signing this contract and am competing for consideration of medals, awards and or prizes as named for the event.
Signature of Participant: X_________________________________ Date: _________
Signature of consenting adult if under 18 years of age: ____________________________________________
Participant Information – Please Print LEGIBLY
Last Name: ___________________________________ First Name:______________________________________MI______
City: ____________________________________________ State: ________________ ZIP: ____________________
DOB: ___________ AGE: ____ SEX:_____ Phone #: ___________________ Email: __________________________________
Team Name:_____________________________________ Division: _________________
PLEASE CIRCLE DESIRED SHIRT SIZE: S M L XL XXL
Make $110.00 entry check payable to: Breakaway Sports and mail entries to:
BREAKAWAY SPORTS French Creek Fling @ PO BOX 631, SHILLINGTON, PA 19607
Question call: 610-775-9776, or email us at:email@example.com, or access our web site at: http://www.makebreak.com