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REGISTRATION                                                        INFORMATION                                                   -T H O
Name/Team
                                                                    Final Payment must be received to
                                                                    obtain bib envelope                                  O LA R            N
                                                                                                                     P
Address                                                             Only personal registration available
                                                                    after 12 noon January 9, 2009

                                                                    A secure area has been established
                                                                    for Ski transition. However, racers are
City                                                           PC
                                                                    responsible for timely pickup at
                                                                    conclusion of event.
Email

                                                                    Race Day Registration & Bib Pickup
CATEGORY
                                                                    8:00am - 8:30am
Individual
                                                                                                                 K




                                                                                                                S
                                                                    Logan Lake Campground Start/Finish
                                                                                                                                                   K




                                                                                                                                               I
            $30 Men                            $30 Youth Female                                                      AT                        S
                                                                    Awards, prizes (Best Costume,                         E -     -
             $30 Women                         $30 Youth Male
       Individual registration will only be $25.00 if registered
                                                                    etc.) & draw prizes from                                  RUN
       before January 2, 2009. Youth is 19 and under.               Runners Sole at 11:00am
Team                                                                at the Logan Lake Rec Centre
             $45 Men                            $45 Family

                                                                                                              JANUARY 11th, 2009
                                                                    Results will be posted on
             $45 Women                          $45 Mixed           www.speedskatingkamloops.ca
             $45 Youth                          $45 Couple


                                                                                                                   9:00am
       Team registration will only be $40.00 if registered
       before January 2, 2009. Youth is 19 and under.


Make cheque payable to River City Racers
SEND REGISTRATION TO:



                                                                    SPONSORS                                   LOGAN LAKE, BC
MAIL
WHY Society
PO Box 640
Logan Lake, BC V0K 1W0
                                                                                             W
EMAIL                                                                                        H
speedskatingkamloops@shaw.ca                                                                 Y
                                                                                            SOCIETY

FAX


                                                                    SUPPORTERS
250-372-9513

DROP OFF
                                                                                                                                           W
Runners Sole
#74-1395 Hillside Dr.
                                         WHY
                                         Village Centre Mall                               Logan Lake
                                                                                                                                           H
Kamloops, BC
V2E 2R7
                                         Logan Lake, BC
                                         V0K 1W0
                                                                                            ATV Club
                                                                                                                                           Y
                                                                        HIGHLAND VALLEY    Logan Lake                                  SOCIETY
CONTACT INFO                                                          OUTDOOR ASSOCATION
Owen Spence                       250-374-5430
WHY Society                       250-523-6229                      www.speedskatingkamloops.ca                  www.speedskatingkamloops.ca
PARTICIPANT WAIVER,
                                           4km Ski Area                                                              Polar-thon, Jan 11, 2009
                                                                                                                     In consideration of my participation in the
                            LEG #3 SKI 4 KM                                                                          Polar-thon 2009, I hereby for myself, my heirs,
                                                                                                                     executors, administrators and assigns, forever
                                                                                                                     release and forever discharge any group or
                                                                                                                     sponsor involved in the Polar-thon 2009 from
                                                                                                                     any and all claims, demands, damages, costs
                                                                                                                     (including solicitor and clients costs on a full
                                                                                                                     indemnity basis), actions or causes of actions,
                                                                                                                     proceedings arising out of or in consequence of
                  .



                                                                                                   ad
               Ave



                                                                                        o                            any loss, injury or damage which may arise by
                                                                                     kR
            nd




                                                                                 e                                   reason of negligence of the group or sponsors
                                                                              Cre
          r tra




                                  LEG                                                                                of the Polar-thon 2009. In addition, I further
                                LEG
                                        #2
                                                RU
                                                                        dow                                      M   waive any claims I might have in connection
         Cha




                                                     N2                                                     .0 K
                                      #4
                                           RU
                                                N2
                                                          .5K
                                                                M   Mea                           SKA
                                                                                                     TE 3
                                                                                                                     with any cancellation or rescheduling of the
                                                     .5K                                      1
                                                           M                             G#                          event for whatever reasons. I declare that my
                                                                                    LE
                           Ga                                                                                        physical condition, to the best of my knowledge,
                               len
                                      aA                                                                             is adequate to participate safely in the sport of
                                        ve.                                                                          cross country skiing, running and skating and
                                                                                                                     that no physician or other qualified individual
Leg #1   3.0 km             SKATE                                                                                    has advised me against participating in the
           (all skating styles welcome)                                                                              sport. I further acknowledge and agree that it’s
Leg #2   2.5 km             RUN                                                                                      my choice whether I will obtain a physical
                                                                                                                     examination prior to participating in the event,
Leg #3   4.0 km             SKI                                                                                      and I hereby acknowledge and agree to assume
            (freestyle and classic)                                                                                  all risks associated with not obtaining such
Leg #4   2.5 km             RUN                                                                                      examination, or if I do obtain an examination
                                                                                                                     and are instructed not to participate in the
                                                                                                                     event, I hereby assume all risks associated with
                                                                                                                     my participation.

                                                                                                                     By completing this Waiver of Liability, with
                                                                                                                     my signature below, I hereby agree to abide by
                                                                                                                     the Rules & Regulations as set forth by the
                                                                                                                     Polar-thon 2009 committee and to follow the
                                                                                                                     instructions of the officials during the event.

                                                                                                                     Signature of Participant/or Team
                                                                                                                     Please fill out one registration form per person

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2009 Polar-thon

  • 1. REGISTRATION INFORMATION -T H O Name/Team Final Payment must be received to obtain bib envelope O LA R N P Address Only personal registration available after 12 noon January 9, 2009 A secure area has been established for Ski transition. However, racers are City PC responsible for timely pickup at conclusion of event. Email Race Day Registration & Bib Pickup CATEGORY 8:00am - 8:30am Individual K S Logan Lake Campground Start/Finish K I $30 Men $30 Youth Female AT S Awards, prizes (Best Costume, E - - $30 Women $30 Youth Male Individual registration will only be $25.00 if registered etc.) & draw prizes from RUN before January 2, 2009. Youth is 19 and under. Runners Sole at 11:00am Team at the Logan Lake Rec Centre $45 Men $45 Family JANUARY 11th, 2009 Results will be posted on $45 Women $45 Mixed www.speedskatingkamloops.ca $45 Youth $45 Couple 9:00am Team registration will only be $40.00 if registered before January 2, 2009. Youth is 19 and under. Make cheque payable to River City Racers SEND REGISTRATION TO: SPONSORS LOGAN LAKE, BC MAIL WHY Society PO Box 640 Logan Lake, BC V0K 1W0 W EMAIL H speedskatingkamloops@shaw.ca Y SOCIETY FAX SUPPORTERS 250-372-9513 DROP OFF W Runners Sole #74-1395 Hillside Dr. WHY Village Centre Mall Logan Lake H Kamloops, BC V2E 2R7 Logan Lake, BC V0K 1W0 ATV Club Y HIGHLAND VALLEY Logan Lake SOCIETY CONTACT INFO OUTDOOR ASSOCATION Owen Spence 250-374-5430 WHY Society 250-523-6229 www.speedskatingkamloops.ca www.speedskatingkamloops.ca
  • 2. PARTICIPANT WAIVER, 4km Ski Area Polar-thon, Jan 11, 2009 In consideration of my participation in the LEG #3 SKI 4 KM Polar-thon 2009, I hereby for myself, my heirs, executors, administrators and assigns, forever release and forever discharge any group or sponsor involved in the Polar-thon 2009 from any and all claims, demands, damages, costs (including solicitor and clients costs on a full indemnity basis), actions or causes of actions, proceedings arising out of or in consequence of . ad Ave o any loss, injury or damage which may arise by kR nd e reason of negligence of the group or sponsors Cre r tra LEG of the Polar-thon 2009. In addition, I further LEG #2 RU dow M waive any claims I might have in connection Cha N2 .0 K #4 RU N2 .5K M Mea SKA TE 3 with any cancellation or rescheduling of the .5K 1 M G# event for whatever reasons. I declare that my LE Ga physical condition, to the best of my knowledge, len aA is adequate to participate safely in the sport of ve. cross country skiing, running and skating and that no physician or other qualified individual Leg #1 3.0 km SKATE has advised me against participating in the (all skating styles welcome) sport. I further acknowledge and agree that it’s Leg #2 2.5 km RUN my choice whether I will obtain a physical examination prior to participating in the event, Leg #3 4.0 km SKI and I hereby acknowledge and agree to assume (freestyle and classic) all risks associated with not obtaining such Leg #4 2.5 km RUN examination, or if I do obtain an examination and are instructed not to participate in the event, I hereby assume all risks associated with my participation. By completing this Waiver of Liability, with my signature below, I hereby agree to abide by the Rules & Regulations as set forth by the Polar-thon 2009 committee and to follow the instructions of the officials during the event. Signature of Participant/or Team Please fill out one registration form per person