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Relay Registration

Registration

Registration deadline is Friday, June 22, 2007. To be submitted by team captains and ultras. Registrations accepted with late fee until Friday, June 29th at Wallace visitors center packet pickup.

Please fill out the form below and after you submit your Registration Form you will be taken to a page to pay online.

If you do not wish to pay online then please click the PDF icon to print off the form, pay by check and mail or drop off your registration. You will find all the mailing information on the form.

RELEASE, WAIVER, ASSUMPTION OF RISK & INDEMNIFICATION. I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in the Trail of the Coeur d’Alenes 100k Run, June 30, 2007, including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. In consideration for my participation, I, for myself, and anyone entitled to act on my behalf, waive, release and will indemnify and hold harmless the Cataldo Mission State Park, Idaho State Parks and Recreation, Coeur d'Alene Tribe, the Trail of the Coeur d’Alenes, Shoshone, Kootenai, and Benewah counties, all other sponsors of the race, their agents, and other persons assisting with the race, and their successors from all claims of liabilities of any kind arising out of my participation of the race even though that liability may arise out of negligence of carelessness on the part of such persons. I grant unrestricted permission for the use of any photographs, motion pictures, recordings or other record of my participation in the race. Parents or guardians must sign for RELAY TEAM members under 18 years of age.

Name
Address
Phone
Age (on of 6/30/2007)
Relay Team Name
Estimated Team Finish Time
Team Captain
Team Category Less than 10 Member Teams
open (any gender/age mix)
all men
all women
youth
Team Captain Signature - to accept Waiver
Team Captain Address
Team Captain Age on 6/30/07
Team Captain Phone
Team Captain Gender
Male
Female
Team Captain T-shirt size
Small
Medium
Large
XLarge
Number of Team Players - $12 each
Please fill in the info for each member in the format below: Name, Address, Age, Phone, Gender, T-shirt size
Checks made out to TOTCd'AS.
Team captains submit one check for the team to:
TOTCd'A'S
c/o Tom Gillies
75 Luoma
Kingston, ID 83839

Team relay ($12 x ____ no of team members)
Late fee +$15 ______ (after June 22, 2007)

You may pay online via PayPal. Instructions will be given once you click Submit.


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