24 Hours…the Run Registration Form



 

Race(circle all that apply):        Moab           Laramie          Boulder

 

Please complete the entry form and send along with payment to :

Gemini Adventures

3506 Feather Reed                                  

Longmont, CO 80503

 

TEAM NAME (mandatory):  _______________________________

 

Circle your Category:

Solo ‑ Male/Female -                                         $100

 

Duo ‑ Male/Female/Co ed -                               $90/person

 

Extreme Team (3‑5) ‑ Male/Female/Co ed -      $80/person

 

Corporate Team (3-5) - Co ed -                        $80/person

 

Open Division (6-10)Co Ed -                             $70/person

*Add $10 per person after February 1st for Moab, May 1st for Laramie and July 1st for Boulder.

*Subtract $10 per person for multiple race discount.

 

Amount Enclosed (total team cost): $____________ (prices are good until the day before each race, race-day registration is an additional $10)

 

 

With my signature I agree to the following:

A physical examination is not required to run the 24 Hours...the Run but all competitors compete at their own risk. I understand that it is recommended that if I am in doubt as to my physical condition to engage in an event as strenuous as a trail 24 hour race, I will seek the advice of a competent physician and abide by his/her advice. I assume all risks associated with running in this event including but not limited to: falls, contact with other participants or animals, the effects of the weather including high heat and/or humidity, and the condition of the trail, as such risks being known and appreciated by me.  Having read this waiver and knowing these facts and in consideration of 24 Hours...the Run accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release 24 Hours…the Run and its organizers, Parks and Recreation, all sponsors, their representatives and successors from claims or liabilities of any kind arising out of my participation in this event though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Further, I hereby grant full permission to any and all of the foregoing to use photographs, videotapes, motion pictures, and recordings of me, or any other record of this event, for any legitimate purpose. All persons under 18 must have a written consent of a parent or legal guardian.

 

 

Team Captain (mandatory)

 

Name:__________________________________________________

Mailing address________________________________________________

 

City________________________________________________ _________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

 

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________

Team Mate #2

Name:_____________________________________________________

Mailing address_________________________________________________

 

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail (mandatory)_____________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________

Team Mate #3

Name:_________________________________________

Mailing address________________________________________________

 

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________

Team Mate #4

Name:_______________________________________________

Mailing address________________________________________________

 

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

Signature__________________________________________Date________

 

Team Mate #5

Name:__________________________________________________

Mailing address_________________________________________________

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________

 

Team Mate #6

Name:___________________________________________________

Mailing address________________________________________________

 

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

Signature__________________________________________Date________

 

Team Mate #7

Name:__________________________________________________

Mailing address_________________________________________________

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________

 

Team Mate #8

Name:__________________________________________________

Mailing address________________________________________________

 

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

Signature__________________________________________Date________

 

Team Mate #9

Name:_________________________________________________

Mailing address_________________________________________________

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________

 

 

 

 

 

Team Mate #10

 

Name:_________________________________________________

Mailing address_________________________________________________

City__________________________________________________________

State_____Zip___________

Day Phone__________________________________________

Night Phone_________________________________________

E Mail ______________________________________________

Sex_______

T-Shirt Size: (Circle One) M L XL

 

Signature__________________________________________Date________