NORTH ROUTT COUREURS DES BOIS 42 KM AND 90 KM SKI RACE

March 18th, 2006 7:30 AM

Steamboat Lake State Park to Wyoming and back


1.       Mail to: 

NRCB c/o Steamboat Springs Nordic Council

PO Box 775401

Steamboat Springs, Colorado 80477

Or

Drop off at the Steamboat Ski Touring Center on Club House Drive(970-879-8180)

2. You may register on-line at http://www.eventsonline.ca/events/nrcb/ or http://www.active.com

Register closes on March 12th at 5:00 PM. Early registration ends January 31st, 2006


Last Name:__________________          First Name:______________    Middle Initial:____ 

Gender: M or F

Birth date: ____/_____/____ (Race age is as of 12/31/2006)       Club:____________      

Have you previously registered for a Nordic Challenge Race event? ____Yes _____No

            Have you previously competed in the NRCB?____ Yes _____No         

Mailing Address:

Street or PO Box_________________________  City:____________________

State:______________ Zip/Postal Code:________  Country:___________

Phone:_____________

Email Address:_______________________

Any medical problems or medication that race officials should know about:_______________

Who to notify in case of emergency:______________________________            Phone:____________________

Race Division: Racers may choose to classic or skate, but only the Open Division will be considered for the purpose awards

42 km ____       90 km ____

Payment: Include check for the following amount if mailing in.  You may pay by credit card at the Steamboat Ski Touring Center or by phone at (970) 879-8180

90 K until January 31st, 2006: $65.00

90 K February 1st until March 12th, 2006: $80.00

42 K until January 31st, 2006: $50.00

42 K February 1st until March 12th, 2006: $65

Will you be attending the post race awards banquette?: Yes  No  ($5 for racers)

Will you be bringing any guests?: Yes  No  If yes, how many? ______ (Guest meals are $10 and include free beer for 21 and over.  You or the guest may pay at the time of packet pick up or at the banquette door).

Finishers will receive one of the items below.  Please circle the item and the size

Item Description

Size

Vest with Embroidered NRCB Logo

Small,  Medium,  Large,  X-Large

 

 

Long Sleeve Fleece Shirt with Embroidered NRCB Logo

Small,  Medium,  Large,  X-Large

NOTICE: THIS ENTRY FORM & RELEASE IS A CONTRACT WITH LEGAL CONSEQUENCES.    READ IT CAREFULLY BEFORE SIGNING.

I expressly understand and agree that neither the Steamboat Springs Nordic Council, the Steamboat Lake Snow Club, the United States Forest Service, nor any of its officers agents, volunteers, assistants, or employees shall be held responsible or made the subject of any claim seeking to assess damages or liability for or arising from personal injury or property damage or loss of any other sort to myself or other person in whose behalf this form is now signed as a result of actual or proposed participation in the above-named program and I hereby agree to indemnify and hold the above named organizations and/or individuals, it officers, agents, volunteers, assistants or employees harmless on account of any such claim.

PARENT or GUARDIAN of a minor: I as a parent or guardian of the below named minor, hereby give my permissions 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 of the above.

If you are registering for the NRCB 90 km event you must be 18 years of age or older

Signature of Entrant:______________________________________________________________

(Parent or Guardian if participant is under 18)_____________________________________________

Racing:  A racer may not bodily interfere or otherwise intentionally impede another racers progress. Unsportsmanlike behavior and/or use of profane or abusive language will not be tolerated. Short cutting of a racecourse is not allowed. At the sole discretion of the Race Director, racers may be issued a warning or disqualified for a violation of any of the series rules. ___________ initial

Protests:  Protests regarding race results will be accepted by the Race Course Director until the end of the next business day following a race. Race results will be final 24 hours after the completion of the race. ___________ initial

Race Divisions:  Racers are solely responsible for knowing which race division they are entered in and the start time for their specific race division. Racing age for all racers will be the racers age as of December 31, 2006.  ___________ initial

Refunds:   If the race is cancelled prior to 3/17/2006, the racer will receive a full refund of their registration fee.  If the race is cancelled due to weather concerns on race day the racer will receive a 50% credit toward the 2007 NRCD or a 50% credit toward a seasons pass for the Nordic Challenge Race Series in 2006-2007.  ___________ initial

OFFICIAL USE ONLY

90 K until January 31st, 2006: $65.00

90 K February 1st until March 12th, 2006: $80.00

42 K until January 31st, 2006: $50.00

42 K February 1st until March 12th, 2006: $65

 Post race awards banquette: $5

Paid by:  Cash   Check   Credit Card

AMOUNT PAID: $______

¨ Check _________#