Name______________________________________________________________________
City___________________________ State________________ Country_______________
E-mail______________________________________________________________________
Club_______________________ Year Born____________ Gender: Male___ Female___
USOF or IOF Federation Name______________ Number____________ Exp. Date_________
SportIdent card rent___
own___ number (if owned)________________________________
(you must have a SportIdent card for the Sprints and
the Billy Pig or Piglet)
Entry Fees
| Entry Fees (US dollars) | Course | Class | Adult
age 21+ |
Junior
age -20 |
Amount |
| Freezer O - December 30 | _____ | ____ | 5 | 4 | $ |
| Sprints - Dec. 31 (one fee pays for both) | _____ | ____ | 15 | 10 | $ |
| "Midnight" Orienteering | _____ | ____ | 10 | 6 | $ |
| Billy Pig or Piglet - January 1 | _____ | ____ | 10 | 5 | $ |
| White course - January 1 | _____ | ____ | 5 | 4 | $ |
| Non-USOF members: If you are NOT a member
of
USOF (or other IOF federation) AND you are doing one or both SPRINTS on Dec. 31, then you must pay a non-members surcharge. |
3 | 2 | $ | ||
| Sport-Ident rental: If you do not own an
SI electronic punch
card, you must rent one if you are doing the Sprints or the Billy Pig or Piglet. |
4 | 4 | $ | ||
| Optional contribution to OCIN's Joel Rauschenbach Memorial Junior Fund | $ | ||||
| Cabin space at Gov. Bebb @ $8/ night ---
Sat, Dec 30___ Sun Dec 31___
cabin is heated by fireplace only, has no running water, and no privacy. |
$ | ||||
| Total Paid (check payable to Orienteering Cincinnati) | $ | ||||
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____________________________________
Courses and Classes:
| Freezer-O | |
| white | -12, 13-20, 21+, group |
| yellow | -14, 15-20, 21+, group |
| orange | -16, 17-20, 21+, group |
| brown | -18, 19-59, 60+, 70+, group |
| green/red | -20, 21-39, 40+, 50+, 60+, group |
| Frozen Pig Sprints | |
| Sprints | all USOF age classes from -10 thru 75+ |
| "Midnight In Rio" | |
| Midnight Score Course | -14, -20, 21-39, 40+, 50+, 60+, group |
| Billy Pig | |
| Billy Pig | -20, 21-39, 40+, 50+, 60+, group |
| Piglet | -16, -20, 21-39, 40+, 50+, 60+, group |
| White | -10, -12, -14, -20, 21+, group |
Mail entry form and fee to:
Mike Minium
6797 Stillwell Beckett
Rd
Oxford, OH 45056-8870
or e-mail information to: mikeminium@aol.com