Registration Form
2004 Flying Pig "A" Meet, April 16-18, 2004
Information: Register
on or before March 31, 2004 on a first-come, first-serve basis. Changes
and cancellations are permitted until March 31, 2004, after which refunds
will be considered on an individual basis.
Instructions: One form
must be completed for each participant. Please clearly print all
infomation, sign the waiver, make check payable to "Orienteering Cincinnati"
and mail to: Vince Hand, 511 East Chestnut St, 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 entered:
Friday (short course)____________ Saturday (classic length)____________ Sunday (classic length)____________
| USOF course/class table: Age is your age as of December 31, 2004. 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:
$20 per day of competition (postmark before March 1, 2004)
$25 per day of competition (postmark March 1 - March 31, 2004)
__________.00
Discounts: USOF /IOF Member Discount, subtract $3/day - __________.00
Junior (age -20) Discount, subtract $2/day - __________.00
Electronic Punch Card Rental
$5 (mandatory if you do not own an SI Card)
__________.00
T-Shirt
$15 each S___ M___
L___ XL___ XXL___
__________.00
Preview Maps
$5 each WT___ GH___
MSRA____
__________.00
Friday Dinner Adult (age 21+)_____ @ $5 Junior (age -20)_____ @ $5 __________.00
Saturday Dinner Adult (age 21+)_____ @ $9 Junior (age -20)_____ @ $7 __________.00
Total amount payable to Orienteering Cincinnati (OCIN) _____________.00
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: Vince Hand, 511 East Chestnut St, Oxford, OH 45056
Questions? E-mail the registrar at PigReg@ocin.org
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