Performance
MultiSports Generic Entry Form |
Below
is a printable generic entry form for use in registering for any of the
Performance MultiSports races and events. (You may need to click on the "full
page" button at the upper right of your screen to make this page full size in your
browser and on your computer screen, and then print it out so that you may fill in the
needed information and mail it with your entry fees to the address on the form.) |
For more
details, contact Performance MultiSports at (904)285-1552 in Ponte Vedra Beach or
Email Performance.
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| --- Print out entry form below
and mail with your entry fee --- |
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ENTRY -- Race Date
_________ Event Name:___________________________________
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Make checks payable to and mail to:
RACE # _________
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- PERFORMANCE MULTISPORTS
(
# Assigned at registration)
- 365 Charlemagne Circle
Ponte Vedra Beach, FL 32082
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| PRINT NAME
_______________________________________________________________________________
AGE (on Race Day) ______
SEX: F M
SHIRT SIZE: S M
L XL BIRTHDATE:
___/___/___
CHECK EVENT ENTERING:
:
Run q
Walk q (If not checked, we
assume you are running)
AMOUNT ENCLOSED: __________
Email ____________________________________________ Phone/EVE ______________ Phone/DAY
______________
ADDRESS _______________________________________________ APT. _________ USA T &
F # __________________
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 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 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
________________
If participant is under 18 years of age, parent or Guardian must sign. |
Make check payable to Performance MultiSports and mail
to 365 Charlemagne Circle, Ponte Vedra, FL 32082
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Back to Event Calendar |
Back to Performance MultiSports Home |
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| Cancellation
Policy: Much of
the cost of providing an adventure 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 an adventure 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 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 similar Performance
Multisports event. Refunds are not available. |
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