2004 J.P. BikrunskiTM 250 & 500 K Invitational Race Application & Waiver

 NOTICE: This application and Release Form is a contract with legal consequences. Please read it carefully before signing it.

Racers in the J.P. BikrunskiTM 250 & 500 K Invitational race must be at least 18 by the day of the race unless prior approval by the board.

Name: _____________________________________________________ Age: _____ Sex: ______

Address :_________________________________________________City: _________________

State/Province: _____________________ ZIP: _________________Country: _________________

Home Phone: _________________ Work Phone: ___________________

E-mail: __________________

In consideration of the acceptance of my application for entry in the 2004 J.P. BikrunskiTM 250 & 500 K Invitational Race, I hereby freely agree to make the following contractual representations and agreements. I fully realize the dangers of participating in a winter skiing/bicycling/running/snowshoeing race held in the Minnesota wilderness during winter conditions, and fully assume the risk associated with such participation, including but not limited to the following dangers: Hypothermia, frostbite, collision with pedestrians, vehicles, wildlife, and other racers and fixed or moving objects, dangers arising from surface hazards, equipment failure, inadequate safety equipment, weather conditions, and animals: and the possibility of serious physical and /or mental trauma and injury, including death, associated with winter athletic competition. I hereby waive, release and discharge myself, my heirs, executors, administrators, legal representatives, assigns and successors in interest (hereafter collectively "successors") any and all rights and claims which the sanctioning organization, the promoter and any promoting organization(s) and their board of directors, property owners, law enforcement agencies, all public entities, special districts, and properties (and their respective agents, officials and employees) through or by which the event will be held for any and all damages which may be sustained by my participation in of associated with the event, or travel to or return from the event. I agree it is my sole responsibility to be familiar with the race course, the rules of the sanctioning body, and the special regulations of the event. I understand and agree that the situations may arise during the race which may be beyond the immediate control of the race officials or organizers, and I must ski, bicycle, run, and snowshoe so as to endanger neither myself nor others. I accept responsibility for the conditions and adequacy of my equipment and training. 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 agree, for myself and successors, that the above representations are contractually binding, and are not mere recitals, and that should I or any of my successors assert any claim in contravention of this agreement, I of my successors shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending, unless the other party or parties are finally adjusted liable on such claims for willful and wanton negligence. This agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of or as consent to another provision herein of as a consent to any subsequent waiver of modification. PARENT OR GUARDIAN OF A MINOR: I, as a parent or guardian of the above named minor, hereby give my permission for my child or ward to participate in the event, and further agree, individually and on behalf of my child or ward, to the terms above.

______________________________________________________ DATE:_________________
SIGNATURE OF ENTRANT

______________________________________________________ DATE: _________________
SIGNATURE OF PARENT OR GUARDIAN OF MINOR

A resume is required before the applicant will be accepted into the event. Past experience in cold weather, long distance events is required.

Contact Pierre Ostor at [email protected]

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