2010
Arrowhead Winter Ultra Race Application & Waiver
NOTICE: This application and Release Form
is a contract with legal consequences. Please read it carefully before signing
it.
Racers in the Arrowhead Winter Ultra must be at
least age 18 years by the day of the event unless prior approval by the
board.
Name:
____________________________________________________________________ Age: _____
Sex: ______
Address
:________________________________________________________________________________________
City:
______________________________________________________________Nationality:______________________
State/Province:
_________________________________ ZIP: _________________Country:
________________________
Home Phone: ___________________________________
Work Phone: _____________________________________
E-mail:
_________________________________________________________________________________________
In consideration of the
acceptance of my application for entry in the 2010 Arrowhead Winter Ultra, I
hereby freely agree to make the following contractual representations and
agreements. I fully realize the dangers of participating in a winter
skiing/bicycling/running/snowshoeing race held in the Minnesota wilderness
during winter conditions, and fully assume the risk associated with such
participation, including but not limited to the following dangers: Hypothermia,
frostbite, collision with pedestrians, vehicles, wildlife, and other racers and
fixed or moving objects, dangers arising from surface hazards, equipment
failure, inadequate safety equipment, weather conditions, and animals and the
possibility of serious physical and /or mental trauma and injury, including
death, associated with winter athletic competition. I also acknowledge and assume the risk
that I may become injured or incapacitated in a location where it is difficult
or impossible for me to receive medical aid in time to avoid physical injury or
even death.
Knowing these facts, I, my
heirs, executors, administrators, legal representatives, assigns and successors
in interest (hereafter collectively "successors") hereby hold harmless and
waive, release and the sanctioning organization, the promoter and any promoting
organization(s) and their board of directors, property owners, law enforcement
agencies, all public entities, special districts, and properties (and their
respective agents, officials and employees) through or by which the event will
be held from any and all rights and claims for any and all damages which may be
sustained by my participation in or associated with the event, or travel to or
return from the event.
I agree it is my sole
responsibility to be familiar with the race course, the rules of the sanctioning
body, and the special regulations of the event. I understand and agree that the
situations may arise during the race which may be beyond the immediate control
of the race officials or organizers, and I must ski, bicycle, run, and snowshoe
so as to endanger neither myself nor others. I accept responsibility for the
conditions and adequacy of my equipment and training. I have no physical or mental condition
which, to my knowledge, would endanger myself or others if I participate in this
event, or would interfere with my ability to participate in this
event.
I agree that it is at the sole
discretion of the race directors to change the rules at any time in the interest
of safety and sportsmanship or for any reason deemed appropriate by the
Arrowhead officials, and I agree to abide by those rules. I understand that the
race officials may pull any participant out of the event in the interest of the
community, law, safety, time, sportsmanship; due to suspicion of cheating, acts
of nature or any reason deemed appropriate by the Arrowhead
officials.
I agree, for myself and
successors, that the above representations are contractually binding, and are
not mere recitals, and that should I or any of my successors assert any claim in
contravention of this agreement, I or my successors shall be liable for the
expenses (including legal fees) incurred by the other party or parties in
defending, unless the other party or parties are finally adjusted liable on such
claims for willful and wanton negligence. This agreement may not be modified
orally, and a waiver of any provision shall not be construed as a modification
of or as consent to another provision herein or as a consent to any subsequent waiver
of modification.
I hereby grant permission for
the free use of my name, any photos, videotapes, recordings or any other record
of me for any purpose without limitation or compensation.
______________________________________________________
DATE:_________________
SIGNATURE OF ENTRANT
Racers in the Arrowhead Winter Ultra must be at
least age 18 years by the day of the event unless prior approval by the
board.
PARENT OR GUARDIAN OF A MINOR: I, as a parent
or guardian of the above named minor, hereby give my permission for my child or
ward to participate in the event, and further agree, individually and on behalf
of my child or ward, to the terms above.
______________________________________________________
DATE: _________________
SIGNATURE OF PARENT OR GUARDIAN OF
MINOR
Emergency contact or Guardian:
____________________________________________________________________
Address
:________________________________________________________________________________________
City:
___________________________________________________________________________________________
State/Province:
_________________________________ ZIP: _________________Country:
________________
Home Phone: ___________________________________
Work Phone: _____________________________________
E-mail:
_________________________________________________________________________________________
Mail this form
and sign in at Zapevent.com or Active.com to pay with credit card by Dec. 1,
2009 or mail along with check for entry fee of US $200 postmarked by
Dec. 1, 2009 to the order
of:
Pierre Ostor
c/o Park
Tool
6 Long Lake Road
St. Paul, MN 55115 USA
Note: The number
of qualified participants is limited to 75 total by the DNR. If spaces are still
open, you qualify, and you sign up after Dec. 1, 2009, the price will increase
to US $250.00. No refunds.
Contact Pierre Ostor at: Info@ArrowheadUltra.com or
Pierre@ParkTool.com
Fax: 651-777-5559
Tel. 651-777-6868
H:
651-204-3193
Mobile: 651-245-7400
Completing one of the below
accomplishments would typically qualify an entrant for this year's Arrowhead
Winter Ultra; however, entry is not guaranteed. The race directors reserve the
right to change the rules in the interest of safety and sportsmanship or for any
reason deemed appropriate by the race officials. The race directors reserve the
right to select entrants based on other important considerations, as well as due
to the requirements of insurers, sponsors, the Minnesota State DNR and other
regulatory agencies.
Qualifying activities for
runners:
· Officially
finishing a previous edition of the Arrowhead.
· Officially
finishing a 135 mile foot race in the Badwater World
Cup 135 Series, such as Badwater.
· Officially
finishing a 100 mile foot race within the time allowed or completed a
multi-sport event, including a 100 mile continuous run.
Qualifying
activities for bikers:
· Officially
finishing a previous edition of the Arrowhead.
· Officially
finishing a 24 hour bike race, on mountain trail or road, with a minimum of 150
miles completed for off-road, or 300 miles on road.
· Officially
finishing the Susitna 100 or a similar type of winter
event.
· Officially
finishing an endurance mountain bike race of 100 miles minimum within the time
allowed.
Qualifying activities for skiers:
· Officially
finishing a previous edition of the Arrowhead
· Officially
finishing a 24 hour ski race with a minimum of 100 miles
completed.
· Officially
finishing the Susitna 100 or a similar type of winter
event.
· Officially
finishing an endurance cross country ski race of 100 miles within the time
allowed.
If you believe that you are capable of
completing the Arrowhead, but do not qualify according to our standards, please
send a resume of your accomplishments, training and preparation for this event.
We strongly recommend that you enter a qualifying race before entering the
Arrowhead.
To help us with the selection process,
please list past experience in cold weather, and/or long distance events as
outlined above:
_______________________________________________________________________________
DATE:____________
EVENT NAME, Type, Distance
_______________________________________________________________________________
DATE: ___________
EVENT NAME, Type, Distance
_______________________________________________________________________________
DATE:____________
Volunteer at Arrowhead, Badwater
or other event?
_______________________________________________________________________________
DATE: ___________
Training completed or planned, miles or distance
run
_______________________________________________________________________________
DATE: ___________
Training completed or planned, miles or distance
run
_______________________________________________________________________________
DATE: ___________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
Mental preparation, winter camping and gear
preparation
_______________________________________________________________________________
DATE: ___________
Mental preparation, winter camping and gear
preparation
_______________________________________________________________________________
DATE: ___________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
Why do you feel we should accept you as an entrant in the 2010
event?
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________