NORTH ROUTT COUREURS DES BOIS

45 KM AND 90 KM SKI RACE

March 15th, 2008 7:30 AM

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

Race: 45 km ____                           90 km ____

Skate______                                    Classic____ (No age groups for classic)

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

Gender: Male_____  Female____

Birth date: ____/_____/____  Age: _____ Club:__________________        

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:____________________

Credit Card Information (only for faxed entries): This will be processed through PayPal

Name on card: ____________________

            Type of card (MC or Visa only): ______  CC#: ________________________

            Expiration date: ---/---/-----           Card security code (last 3 or 4 digits): ____

Race Fees:

Race Event

Entry Fee

 

Before February 16th

After February 15th

Enrolled Students*

90 k

 $   70.00

 $   90.00

  $ 60.00

45 k

 $   65.00

 $   80.00

  $ 55.00

CORSAR Card

 $     3.00   

Search and rescue card is required

See flyer for details and options

Total

 

 

 

*Applies at any time to students currently enrolled in a legitimate school, either high school or college.

 

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)____________________________________________

 

Registration Options:

Mail registration to: NRCB C/O STEAMBOAT SPRINGS NORDIC COUNCIL

                                  1475 Pine Grove Rd

                                  Suite 102

                                  Steamboat Springs, CO 80487

Fax registration form to: (970) 879-1389 with all credit card information

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

Register On-line at: http://www.eventsonline.ca/events/nrcb/