Registration Form
2006 Flying Pig "A" Meet,      March 31 - April 2, 2006

Information:  Register on or before March 26, 2006.  Changes and cancellations are permitted until March 26, 2006, 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  45056-8870.

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 __________________________________

Events entered:        Fri (middle) ____        Sat (sprint) ____        Sat (relay) ____        Sun (classic) ____

Class:    Fri (middle)________       Sat (sprint)________   eligible for US Championship?  yes___  no___       Sun (classic)________
(see course / class table at the bottom of this page)

Relay entrants: List relay team members if known: __________________________________________________________________
 
competitive entry fees
(postmark before March 13)		 entering any 1 event entering any 2 events entering any 3 events entering all 4 events
adult age 21+
non-member		 $23 $46 $64 $82
adult age 21+
member of USOF, COF or IOF		 $20 $40 $55 $70
junior age -20
non-member		 $15 $30 $41 $52
junior age -20
member of USOF, COF, or IOF		 $12 $24 $32 $40
competitive group $15 per person $25 per person $35 per person $45 per person

Entry fee (from table above)                                                                                                                          __________.00

Late fee (postmarked after March 13, received by March 26), $5 per event entered                                       __________.00

Electronic Punch Card Rental $6    (mandatory if you do not own an SI Card)                                               __________.00

T-Shirt    $16 each    S___    M___    L___    XL___    XXL___                                                                      __________.00

Preview Maps    $4 each    BH (Bantam Highlands) ___    TR (Turkey Ridge)___                                            __________.00

Sat Dinner      age 21+____ @ $15     age 13-20____ @ $10    age 6-12____ @ $7                                      __________.00

Total amount payable to Orienteering Cincinnati (OCIN)                                                                           _____________.00
Frequent Errors: The $6 e-punch rental fee covers all 3 days, NOT $6/day. Be sure your USOF membership is paid through at least 4/2006; 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 ________________________________________________
 
 
 
 
 
 
USOF course/class table: Age is your age as of December 31, 2006. 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+

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  45056-8870
Questions?  E-mail the registrar at FlyingPigO@aol.com

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updated 0200 1/4/2006