Mail
to:
AA Sports, Ltd. c/o Pacific Crest
4836 SW Western Ave
Beaverton, OR 97005
EVENT
(Choose One)
INDIVIDUAL (Tour
Fee includes Pacific Crest Commmemorative Tech shirt, finisher medal,
a weekend of entertainment and fun.
First Name / MI /
Last Name
Street Address
City
State/Province
Zip/Postal Code
Birthdate - mm/dd/yy
Age
Gender
Phone
Email
T-Shirt
Size (included with entry fee)
Check#
Amount Enclosed
WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I acknowledge that a Multi-Sport Event is an extreme
test of a person's physical and mental limits and carries with it the
potential for death, series injury, and property loss. I HEREBY ASSUME
THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am capable
of completing all disciplines of the event, and that I am physically fit
and that I have sufficiently trained. I agree to abide by the competitive
rules. I hereby take the following action for myself, my executors, administrators,
heirs, next to kin, successors and assigns, or anyone else who might claim
or sue on my behalf, and I hereby waive, release and discharge from any
and all claims, losses, or liabilities for death, personal injury, partial
or permanent disability, property damage, medical or hospital bills, or
theft which may arise out of or relate to my participation in this event.
I agree not to sue, and to hold harmless any and all persons, sponsors,
volunteers, participants or government agencies for any and all claims
or liabilities that I have waived, released or discharges herein.I understand
that my email / contact information might be used for future promotional
purposes. ENTRY FEES ARE NON-REFUNDABLE.
Type Full Name
Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age
of 18)
Date________________________________________