Name of Entrant_____________________________ Year Born _____ Sex: M__ F__
Street Address_________________________________________________________
City_______________________ State__________ Zip_________-________
Phone(_______)_______-_________ E-Mail___________________________________
Orienteering Federation Name____________________ Number______________________
(If you are a member of USOF or other national orienteering federation,
you get a discount.
See fee computation area below)
Orienteering Club_____________________________________________
Eligible for Midwest Championship? ___yes ___no
Electronic Punching: Sport-Ident Number___________________________
(If you do not have your own Sport-Ident unit, you will need to rent
one for these events)
The Pig Sprint
Fri 28 March 2003 Course___________ Class___________
The Classic Pig
Sat 29 March 2003 Course___________ Class___________
The Short Pig
Sun 30 March 2003 Course___________ Class___________
Link to USOF
Standard Course and Class Structure
The Pig breaks USOF's M/F white into M-White
and F-White if there are sufficient entries.
Babysitting needed? ___yes. If yes, names and ages of children?____________________
(Let us know by March 17, or this service may not
be available)
FEE COMPUTATION AREA:
Entry Fee
age 21+ $20 x ___ days
= $____.00 (20, 40, 60)
age -20 $10 x ___
days = $____.00
(10, 20, 30)
USOF/IOF discount
age 21+ $- 3 x ___ days
= $____.00 (-3, -6, -9)
age -20 $- 2 x ___
days = $____.00
(-2, -4, -6)
Late Entry Fee
(postmark > 3/10) $ 5 x
___ days = $____.00
( 5, 10, 15)
E-card rental
$ 2 x___ days =
$____.00 ( 2, 4, 6)
Preview maps
__WT __HWE
__HWS $ 4
x___ maps =
$____.00
Dinners
age 21+
$12 x___dinners
= $____.00
age 11-20
$ 6 x___dinners
= $____.00
age -10
$ 3 x___dinners
= $____.00
T-shirt ___S ___M ___L ___XL ___XXL
$16 x ___shirts
= $____.00
TOTAL $___________
Each participant (or parent/guardian) must sign the waiver form!
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) _________________________________ Date ____________________
Signature __________________________________________
Parent or guardian must sign if entrant is under 18 _______________________________________
Make check payable to: OCIN
Mail to:
Vince Hand, 511 East Chestnut St, Oxford, OH 45056
Registration questions: Vince
Hand, PigReg@woh.rr.com telephone: (513)
523-5136