Registration Form
2005 Flying Pig "A" Meet,
April 1-3, 2005
Information:
Register on or before March 26, 2005. Changes and cancellations are
permitted until March 26, 2005, after which refunds will be considered
on an individual basis. One form must be completed for each participant.
Please clearly print all infomation, sign the waiver, make check payable
to "OCIN" and mail to: Mike Minium, 6797 Stillwell Beckett Rd, Oxford,
OH 45056.
Name of entrant__________________________________________
Year of birth__________ Sex: M__ F__
Club____________
Street Address___________________________________________________________
Telephone (_______)________-___________
City_______________________________
State______ Zip Code______________ E-mail____________________________________
USOF (or other IOF Federation_______________________)
Membership Number ___________________________________________
SportIdent Electronic Punch
Card: Rent?_______ Own?________
SI Number if owned ___________________________________
Class:
Fri (sprint)_________ Sat (short)_________
eligible for US Championship? yes___ no___
Sun (classic)_________
M-21+ or F-21+ entrants: Are you a US citizen, and, if selected, would you
compete on the US team at WOC 2005? yes___ no___
| USOF course/class
table: Age is your age as of December 31, 2005. F=female, M=male. Females
may enter M-21+ on blue course. Courses are listed from easiest (white)
to hardest (blue). If you want to do an easy course, and your age does
not fit in an age class, enter a "course class" on that course. For a more
complete description of course length and difficulty, go to How
to Choose a Course. (leaving OCIN site). |
| course |
age classes,
male |
age classes,
female |
course classes |
| white |
M-10 |
M-12 |
|
|
F-10 |
F-12 |
|
|
|
M/F white |
|
group-white |
| yellow |
M-14 |
|
|
|
F-14 |
|
|
|
|
M-yellow |
F-yellow |
group-yell. |
| orange |
M-16 |
|
|
|
F-16 |
|
|
|
|
M-orange |
F-orange |
group-oran. |
| brown |
|
|
M 65+ |
M70+ |
F-18 |
F 55+ |
F 60+ |
F 65+ |
F 70+ |
M-brown |
F-brown |
|
| green |
M-18 |
M 50+ |
M 55+ |
M 60+ |
F-20 |
F 35+ |
F 40+ |
F 45+ |
F 50+ |
M-green |
F-green |
|
| red |
M-20 |
M 35+ |
M 40+ |
M 45+ |
F-21+ |
|
|
|
|
M-red |
|
|
| blue |
M-21+ |
|
|
|
|
|
|
|
|
|
|
|
Event Fees: per day
of competition
adult (age21+) junior (age -20) group
postmark before Mar. 11,
2004: $ 23
$ 15
$ 25
received by Mar. 26, 2004:
$ 28
$ 18
$ 30 __________.00
Discounts: USOF
/IOF Member Discount, subtract $3/day (no disc. for groups) - __________.00
Multi-Day: If you are running all 3 days, subtract $10 (adults and groups) or $6 (juniors) - __________.00
Electronic Punch Card Rental
$5 (mandatory if you do not own an SI Card) __________.00
T-Shirt
$16 each S___ M___
L___ XL___ XXL___ __________.00
Preview Maps
$5 each CF (Camp Friedlander) ___ EF
(East Fork)___ __________.00
Sat Dinner
age 21+____ @ $12 age 13-20____ @ $9
age 6-12____ @ $7 __________.00
Total amount payable to Orienteering Cincinnati (OCIN) _____________.00
Frequent Errors If you are a USOF or other IOF Fed. member and are entering all 3 days, take BOTH the member discount AND the multi-day discount! The $5 e-punch rental fee covers all 3 days, NOT $5/day. Be sure your USOF membership is paid through at least 4/2005; we are required to check for both discount and championship eligibility.
WAIVER OF RESPONSIBILITY
I, the undersigned, know that
Orienteering, as an outdoor action sport, carries significant risk of personal
injury. I know that there are natural and man-made hazards, environmental
conditions, and risks which, in combination with my actions can cause me
serious, or possibly even fatal, injury. I agree that I, as a participant,
must take an active role in understanding and accepting these risks, conditions,
and hazards. I also agree that I, and not the organizers and officials
of this event, the US Orienteering Federation, the land owners or managers,
or any sponsors, am responsible for my safety while I participate in this
event.
Name (please print) ________________________________________
Signature ____________________________________________
Date_________________
Parent or guardian must sign if entrant is under 18 ________________________________________________
Be sure that you have:
clearly printed all infomation,
signed the waiver,
enclosed a check payable to "Orienteering
Cincinnati" or "OCIN"
and mailed to: Mike Minium, 6797 Stillwell
Beckett Rd, Oxford, OH 45056
Questions? E-mail the registrar at PigReg@ocin.org
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updated 0140 3/3/2005