___Age Group ___Elite ___Clydesdale/Athena ___Team Coed ___Team Men ___Team Women
Last Name First Name Age on Sex
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|
race day M/F
Mailing address (include apt. # and c/o)
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
City and State Zip/Postal Code
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|
Birth date Area Code Telephone
|___|___|___| |__|__|__| |__|__|__|-|__|__|__|__|
Mo Day Yr
E-Mail Address
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Shirt Size Small |__| Medium |__| Large |__| X Large |__|
TEAM
(Biker)Last Name First Name Age on Sex
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|
Mailing address (include apt. # and c/o)
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
City and State Zip/Postal Code
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|
Birth date Area Code Telephone
|___|___|___| |__|__|__| |__|__|__|-|__|__|__|__|
Mo Day Yr
E-Mail Address
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Shirt Size Small |__| Medium |__| Large |__| X Large |__| Last Name
(Runner #2)First Name Age on Sex
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|
Mailing address (include apt. # and c/o)
City and State Zip/Postal Code
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|
Birth date Area Code Telephone
|___|___|___| |__|__|__| |__|__|__|-|__|__|__|__|
Mo Day Yr
E-Mail Address
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Shirt Size Small |__| Medium |__| Large |__| X Large |__|
WAIVER. Knowingly and at my own risk I do hereby apply to enter an athletic
contest. I hereby agree that I release and discharge Vacation Sports, and all other parties associated with Oakdale Spring Classic Duathlon from all claims, demands, injuries, damages, actions or causes of action from all acts of active or passive negligence on the part of
such corporations, organizations, clubs, their servants, agents or employees, and hereby assume all the risks associated with my participation in the event. Further, I hereby grant full permission to any and all of the foregoing to use my name, likeness and voice, as well as any photographs, videotape, motion pictures, recordings and any other record of this event in which I may appear for any legitimate purpose
including broadcast of the event, the reuse in any media of this broadcast and in advertising and promotion.
Signature
(by parent or guardian if
participant is under 18) ___________________________________________________
NO REFUNDS
Oakdale Duathlon
Vacation Sports
5906 Highway 61 N.
White Bear Lake, MN 55110
Make check payable to Vacation Sports