CENTRAL NEW YORK ROGAINE VII "For the Love of Woody" SATURDAY, 11 JULY thru SUNDAY, 12 JULY 1998 ENTRY FORM TEAM NAME: ____________________________ EVENT ENTERING: (circle one) 6 hr 12 hr 24 hr EACH TEAM MEMBER'S NAME AND PHONE COMPLETE ADDRESS 1.________________________________________ _______________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 2.________________________________________ _______________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ MEMBER|GENDER| AGE AS OF| BASE FEE| LATE FEE | T-SHIRT | NUMBER| | 12-31-98 |$25/PERSON| $10 ($15)| $10 | SIZE | | | | | | | | 1. |______|__________|__________|__________|_____|______| | | | | | | | 2. |______|__________|__________|__________|_____|______| COMPETITIVE CATEGORY (circle one): MALE FEMALE COED MASTER JUNIOR TOTAL FEES ENCLOSED:__________ For additional team members attach a separate sheet; this form may be copied as needed. It is recommended that groups larger than three members split into separate teams. Individuals who don't have a complete team will be placed with other such individuals with like abilities on the day of the event. PLEASE FILL OUT AND SIGN THE WAIVER ON THE NEXT PAGE WAIVER OF RESPONSIBILITY YOU WILL NOT BE PERMITTED TO TAKE PART IN THIS EVENT IF YOU DO NOT FULLY ACCEPT THE FOLLOWING CONDITIONS AND SIGN THIS WAIVER. I, the undersigned, know that orienteering and the event I am participating in, as an outdoor action sport, carries significant risk of personal injury. I know that there are natural and man-made hazards, environmental conditions, and risks which, in combination with my actions, can cause me serious, or possibly even fatal, injury. I agree that I, as a participant, must take an active role in understanding and accepting these risks, conditions, and hazards. I also agree that I, and not the organizers and officials of this event, the United States Orienteering Federation, Central New York Orienteering, Greek Peak, The Nordic Center, the State of New York, all other land owners or managers, or any sponsors, am responsible for my safety while I participate in this event. Name #1 (please print) ______________________________________________ Signature ______________________________________________ Name #2 (please print) ______________________________________________ Signature ______________________________________________ Parent or guardian must also sign if entrant is under 18 _______________________________________________ Date ____________