ENTRY FORM -- Performance
Jetty-2-Jetty
Beach Ultramarathon & Team Relay
|
|
USE A
SEPARATE FORM FOR EACH TEAM or SOLO RUNNER
|
|
Make checks payable to and mail to:
|
| Performance J-2-J
RACE
NO._________ |
365 Charlemagne Circle, Ponte Vedra Beach, FL
32082
(Assigned at registration)
CHECK EVENT ENTERING: RUN (Solo) ___
RUN
Relay ___
Bike ___
|
|
|
PRINT NAME
____________________________________________ Age
on Race Day_______ Gender ____ Shirt Size ___ |
|
Solo
or Team Captain - First Name
Last Name
|
| |
|
PRINT NAME ____________________________________________ Age
on Race Day_______ Gender ____ Shirt Size ___ |
|
Relay
Team Member's First Name
Last Name
|
|
| PRINT
NAME ____________________________________________ Age
on Race Day_______ Gender ____ Shirt Size ___ |
|
Relay
Team Member's First Name
Last Name
|
|
| PRINT
NAME ____________________________________________ Age
on Race Day_______ Gender ____ Shirt Size ___ |
|
Relay
Team Member's First Name
Last Name |
|
| PRINT
NAME ____________________________________________ Age
on Race Day_______ Gender _____ Shirt Size ___ |
|
Relay
Team Member's First Name
Last Name
|
|
|
TEAMS -- CUMULATIVE AGE
(on Race Day) ______ TEAM
Makeup:
|
ENTRY Fees: SOLO
(Runner, cyclist or walker) = $40/entry until 1/31/09. From
2/1-2/23, entry
fee=$45. After 2/23, entry for solo is $50.
|
RELAY TEAMS = $70 for 2-person or
3-person team and $150 for 4-person or 5-person team until 1/31/09. From
2/1 - 2/23, entry for
2 or 3-person team is $85 and 4- or 5-person team entry is $170. After
2/23, entry for 2- or 3-person team is $99 and for 4-
or 5-person team entry is $180.
|
| The Performance Jetty-2-Jetty
Beach Ultra & Relay late registration will begin at 6:00pm on the
evening before the race at the host hotel (see J2J Updates page). Within 5 days of the race and at the Late
Registration opportunity on the evening before the race, the entry
fee is $50 per participant for individual racers, and $99 per TEAM
(whether there are two or three in your team) or $180 per TEAM (if there
are 4 or 5 on your team). Fill out and complete an
entry form and Waiver & Release Form
for each solo or team member, and bring them with you to the Late
Registration and Pre-Race meeting on the evening before the race. You
should pre-register at least ten days prior to race day in order to be sure
to receive your FINISHER'S T-SHIRT. |
|
TEAM NAME:
______________________________________ AMOUNT ENCLOSED: ________
Captain's EMAIL
______________________________________ PHONE/DAY
___________
PHONE/EVE ___________
Captain's ADDRESS
_______________________________________________________________
APT. __________
CITY _______________________________________________________ STATE __________
ZIP ________________
WAIVER:
In
consideration of the acceptance of my application for this entry, I, the
undersigned intending to be legally bound, hereby, for myself and anyone
acting on my behalf, release any and all claims for damages I may have
against the event organizers, Performance MultiSports, the event supporters,
directors, volunteers, and any sponsors and their representatives, successors and assigns
for any and all injuries and death suffered by me in said event. I attest
and verify that I know that an athletic event can be a potentially hazardous
activity. I acknowledge that participating in this event is inherently
dangerous. I fully realize the dangers of participating in this event, and
fully assume the risk associated with such participation, including but not
limited to the following dangers: dehydration, hyperthermia, hypothermia,
hyponatremia, collision with pedestrians, vehicles, and other event
participants and fixed or moving objects, dangers arising from other surface
hazards, equipment failure, inadequate safety equipment, weather conditions,
animals, the possibility of serious physical and/or mental trauma and
injury, including death. However, I have sufficiently trained for the
completion of this event and know that I am participating at my own risk. I
understand that there are more hazards than are enumerated here, and that
there are unknown and unforeseeable hazards. I engage in the activity of
this event with knowledge of the inherent risks of injury. I understand the
risks involved in this event and I have carefully read, understand and
voluntarily accept the terms of this waiver and release agreement. In
addition, I agree to abide by the rules and conditions laid down for the
event and to follow instructions issued by event officials. I understand
that circumstances beyond the control of the event director may cause the
event to be modified, postponed or relocated. I accept that the organizers
reserve the right to refuse entry from persons considered to have
insufficient experience or disqualify those who fail to follow the rules and
conditions: ignorance is no excuse. I agree that my name, voice or picture
may be used by Performance Multisports and race sponsors for promotional
purposes. I affirm that the details written about me on this entry form are
true. I agree it is my sole responsibility to be familiar with the course,
the rules of the sanctioning body, and the special regulations of the event.
I understand that there is an 8-hour time limit for completing this race,
after which I will not expect the race organizers to remain at the finish
area. I agree to notify the race organizers if I should decide to withdraw
from this event prior to reaching the finish line. I have no physical or mental condition which, to my knowledge, would
endanger myself or others if I participate in this event, or would interfere
with my ability to participate in this event. I have read this waiver of
liability and accept the risks and responsibility associated with entering
this event. I further acknowledge that I may be required to sign an
Acknowledgement, Waiver & Release from Liability (AWRL) during the
registration process prior to starting the ride on the day of the event. I
hereby grant permission for the free use of my name and picture in any
broadcast brochure, website, or account of this event.
Signature _________________________________ Parent*______________________________
Date ____________
Signature _________________________________ Parent*______________________________
Date ____________
Signature _________________________________ Parent*______________________________
Date ____________
Signature _________________________________ Parent*______________________________
Date ____________
Signature _________________________________ Parent*______________________________
Date ____________
|
|
*
If a participant is under 18 years of age, parent or Guardian must sign.
For more information, see www.PerformanceMultisports.com
or call Performance MultiSports at
904/285-1552 |
Back to Jetty-2-Jetty
Beach Ultra page |
Register
Online at Active.com |
| Cancellation
Policy: Much
of the cost of providing a race is spent long before you arrive at the
race site. In fact, most of our costs need to be paid in advance and are
not recoverable. Typically, we go forward with a race "rain or
shine." If severe weather conditions or other issues out of our
control (such as hurricane or the closing of the race site by order of the
local government), we will postpone and reschedule our race. The race
organizers are not responsible for such changes in schedule, and will
credit any paid entries toward the rescheduled race date. If a written
cancellation of registration is initiated by the participant more than 21
days in advance of the event date, full credit toward another Performance
Multisports race will be available. If participant's cancellation notice
is sent 21 days or less (before the race), a 75% credit will be applied;
10 days or less, a 50% credit; less than 96 hours notice, or no notice
("no shows") will receive no credit. Any such credit is good for
180 days from the date of the scheduled event toward entry/registration in
another Performance Multisports event. Refunds are not available. |
