Registration Form and Waiver (one per participant). Please copy/paste into an email then send the requested information at least 48 hours before check-in on race day.

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OFFICIAL USE ONLY
Ammunition:
BIB NUMBER:

REQUIRED INFORMATION (Please mark with XX's)
Select a Race or Races:
Saturday, 27-June-2009, 4.1k/3.6k
Saturday, 25-July-2009, 4.1k/3.6k
Saturday, 01-August-2009, 4.1k/3.6k

Personal Info:
First Name
Last Name
Street
City
State
Zip Code

M/F

Select a Class (ages are as of 31-December-2009)
UNCLASSIFIED:
BOY or GIRL (12-13) Email completed forms for this classification to Chris Li at chris@bikewaysource.com
BEGINNER (14-16, prone/prone, big/big)

CLASSIFIED:
SPORT CLASS:
NOVICE (17-99, prone/standing, big/big)
MATCH CLASSES:
YOUTH (17-18, prone/standing, small/big)
JUNIOR (19-20, prone/standing, small/big)
SENIOR (21-39, prone/standing, small/big)
MASTER (40-99, prone/standing, small/big)

TEAM: (HSC)________/(Pemi)________/(Independent)______/(Other)______/

Have a bona-fide safety certification card, such as the one offered by New York Biathlon clubs? (YES/NO)
Race Descriptions are available by clicking the right-hand side of the registration webpage.
Have read and understand the race description for this race? (YES/NO)
Repeated answers not necessary for the next 4 questions:
Participated in a biathlon(*) before? (YES/NO)
I understand that those who have never participated in a biathlon before, will usually be asked to start in the BEGINNER CLASS regardless of age or experience in other sports. (YES/NO)

Please provide an email address if answering "YES" to either of the next 2 questions. Successful requests will be confirmed by email. (Or, provide a telephone number and no email address if confirmation by telephone is preferred.)
I will need a loaner rifle. (YES/NO)
I will need ammunition for the event. (YES/NO)

Signature and date are required at the bottom of this form.

(*) Including Shooting.

OPTIONAL INFORMATION
Phone:
Email:

All participants who will be 21 years old or younger on 31-December of this year may participate free of charge.
HSC Members
Pay $15.00 for the Summer (June/July/August) maximum 3 races, or any 1 race.
Non-members
Pay $30.00 for the Summer (June/July/August) maximum 3 races in 2 installments of $15.00 each
OR, pay $15.00 for any 1 race
Payment Due during check-in on race day.
No penalties or charges for no-shows.

WAIVER AND RELEASE OF LIABILITY

In consideration for the rights and privileges associated with entry and participation in the above Nordic ski event, running event, snow- shoeing event, walking event and/or shooting event I acknowledge and agree to be bound by the following:
1. Identification of Risks. I understand that participation in any skiing, running, snow-shoeing, walking and/or shooting activity, including but not limited to, preparation for, participation in, and coaching of activities in cross country ski, running, snow-shoeing, walking and/or shooting competitions and clinics, involve risk of serious injury, including permanent disability, death and other losses, due to inactions or negligence of myself or others.
2. Assumption of the Risk. I agree that I am responsible for my safety while participating in activities associated with HSC Biathlon of Harvard Sportsmen's club of Harvard, MA, and that such responsibility includes participation only; a) when I am both physically and psychologically repaired to participate safely, b) after fully familiarizing myself with the venue before beginning the activity, and c) while using the equipment of a type and condition reasonably necessary to safely participate. I assume all risk connected with responsibility for any injury or loss connected with my participation.
3. Waiver. Aware of the risks and willing to assume them, I hereby waive, release and agree to hold harmless the Harvard Sportsmen's Club, its affiliates, subsidiaries, officers, directors, employees, agents, coaches, trainers, doctors, officials, event organizers or sponsors (Released Parties) including but not limited to the biathlon committee known as HSC Biathlon from any and all claims by me for any liability, injury, loss or damage in any way connected with my participation in activities associated with HSC Biathlon, except where caused by the gross negligence or willful or wanton misconduct of any of the Released Parties. I intend for this waiver and release to also apply to any relatives, personal representatives, heirs, beneficiaries, next of kin or assigns who may pursue any legal action or claim on my behalf.
4. Insurance. I currently have, and agree to maintain throughout the time that I train and compete, valid and sufficient medical and accident insurance. I understand that this is my sole responsibility and release all persons and entitles from providing this coverage for me.
5. Claims of the organizers and volunteers. The organizers and volunteers of this event make no claims regarding experience in or qualifications for holding biathlon events or suitability of the grounds, environs and shooting ranges for such a competition and specifically do not claim any first-aid training, biathlon safety certification, trail design or preparation, range design or preparation or the achievement of other desirable standards.
6. Disavowel of sanctions and affiliations. The events organized by HSC Biathlon of Harvard Sportsmen's Club are not sanctioned by or affiliated with USBA, IBU or any other biathlon organization, gun club, shooting organization sports or athletic club.

I agree with the terms of the waiver.

Typed signature and date of participant or in the case of minors, of parent or guardian:

Email completed forms to Fred Beihold, Race Director at tigermuskie@gmail.com

http://www.hscbiathlon.org/

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posted 19-July-2009