J2J Entry
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ENTRY FORM -- Performance Jetty-2-Jetty Beach Ultramarathon & Relay - 3/15/14 - Start 8:30am

USE A SEPARATE FORM FOR EACH TEAM or SOLO RUNNER or SOLO BIKER

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 - 2/3P Relay __        RUN - 4/5P Relay __           Bike (Solo) ___

 
TEAM NAME:  __________________________________________    AMOUNT ENCLOSED: ________
PRINT NAME ____________________________________________   Age on Race Day______   Gender ____  Shirt Size ___

      Solo or Team Captain - First Name           Last Name                    

 
Captain or Solo's EMAIL ____________________________________________  PHONE/DAY ______________________

Captain's ADDRESS __________________________________________________________________ APT. __________

CITY _______________________________________________________ STATE __________ ZIP ________________

 
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:    COED        All-FEMALE        All-MALE

ENTRY Fees:   SOLO (Runner or cyclist) = $40/entry until 12/1.   From 12/1 to 2/14, entry fee=$50.   After 2/14, entry for solo is $60.
                  RELAY TEAMS = $70 for 2-person or 3-person team and $150 for 4-person or 5-person team until 12/1.   From 12/1 to 2/14, entry for 2 or 3-person team is $90, and 4- or 5-person team entry is $180.   After 2/14, entry for 2- or 3-person team is $110 and for 4- or 5-person team entry is $200. 
The Performance Jetty-2-Jetty Beach Ultra & Relay late registration will begin at 7:30am on the morning of the race at the beach access at east end of Atlantic Boulevard in Atlantic Beach (see J2J Updates page). Within 5 days of the race and at the Late Registration opportunity on the day of the race, the entry fee is $70 per Solo racer, and $125 per TEAM (if there are two or three in your team), or $235 per TEAM (if there are 4 or 5 on your team). Within five days of the race, fill out and complete this entry form and Waiver & Release Form for each solo or team member, and bring them both with you to the Late Registration and Pre-Race meeting on the morning of the race. Call race director at 904-373-8411 to notify him of your intention to register late. You should pre-register at least ten days prior to race day in order to be sure to receive your FINISHER'S T-SHIRT.

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 also sign.

For more information, see www.PerformanceMultisports.com or call Performance Multisports at 904/285-1552

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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.
 

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Performance Multisports promotes healthy recreational opportunities in the NE Florida area. Performance provides athletes of many sports a way to meet, train, and socialize together, while giving back to the community, as it produces sports events for a variety of other non-profit organizations. 

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