Mail
to:
AA Sports, Ltd.
4840 SW Western Ave, Suite 400
Beaverton, OR 97005
Event
- Choose One
(T-shirt included in entry fee)
First Name / MI / Last Name
Street Address
City
State/Province
Zip/Postal Code
Birthdate - mm/dd/yy (birth year not 2008)
Age
Gender
Phone
Email
Award Division
Special Division (Optional - applies to Individuals only)
T-Shirt Size (each paid participant will receive a custom designed Falcon
15K t-shirt)
RELAY
MUST COMPLETE*
*
Team Name (20 characters or less)
* Teammates
*
DIVISIONS - RELAY (Combined ages)
Check#
Amount Enclosed
WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I know that participating in an organized athletic event
is potentially hazardous, and that I should not enter to participate unless
I am medically able and properly trained. I HEREBY ASSUME THE RISKS OF PARTICIPATING
IN THIS EVENT. I certify that I am physically fit and that I have sufficiently
trained. I agree to abide by the competitive rules. I hereby take the following
action for myself, my executors, administrators, heirs, next to kin, successors
and assigns, or anyone else who might claim or sue on my behalf, and I hereby
waive, release and discharge from any and all claims, losses, or liabilities
for death, personal injury, partial or permanent disability, property damage,
medical or hospital ills, or theft which may arise out of or relate to my
participation in this event. I agree not to sue, and to hold harmless any
and all persons, sponsors, volunteers, participants, or government agencies
for any and all claims or liabilities that I have waived, released or discharges
herein. I agree to return the Timing Chip assigned to me or pay a $30.00
replacement fee. ENTRY FEES ARE NON-REFUNDABLE.
Type Full Name
Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of
18)
Date________________________________________