2005 Generic Mountain Bike Racing Entry Form

Use this form to enter any Sask Cycling Mountain Bike Racing event. Fill in your personal information, photocopy it, add the race details and send a signed copy (with the appropriate entry fee) to each race organizer, do not forward this form to the SCA office. Do not photocopy a signed form.

Deadlines, Late penalties: Organizers may set their own deadlines, penalize or even refuse late entries.

Race information: Read the SCA newsletter, contact the organizer or visit the SCA web site (www.saskcycling.ca)

Race Details

_______________________________________________________________________ $________________( Entry fee enclosed)

Name and date of the event____________________________________________________

Print: Name:____________________________________________________ Club: ____________________________________________________

Phone # ________________________ Address:____________________________________________________

City ___________________________________ Postal Code: ___________________________ E-Mail address_________________________

License # _____________________ Check one: Male____ Female_____ Date of Birth D/M/Y________

Check off your category:

RELEASE AND WAIVER FORM In consideration of my application for entry in this event, I hereby agree to the following: I acknowledge that cycling has an inherent risk and I fully agree to assume the risks associated with participation in this event. I agree it is my sole responsibility to be familiar with the race course, the Canadian Cycling Association (CCA) and any special regulations for the event. I understand and agree that situations arise during the race that may be beyond the immediate control of race officials or organizers and I must continually ride so as to neither endanger others or myself. I accept responsibility for the condition and adequacy of my competition equipment. I will compete wearing a helmet, that complies with the helmet requirements of the CCA racing rules. When signing this form, I release all responsibility (agree not to sue) the CCA, the Saskatchewan Cycling Association Inc., the race organizers, all Officers, Directors, volunteers, sponsors, coaches or employees of the above, in respect of my death, injury, loss or damage to person or property associated with my racing however caused. I understand that there are increased risks associated with riding a bicycle and I hereby voluntarily assume all physical and legal risks associated with riding a bicycle including the risk of death, injury, loss or damage however caused in the course of my participation in this event. The Release and Waiver Form extends to all claims of ever kind or nature whatsoever, foreseen or unforseen, known or unknown. I, the undersigned, have read this form carefully and fully understand it and agree to all the above terms and conditions on behalf of myself, my heirs and executors. I hereby acknowledge having read this Release and Waiver Form and I understand and Accept its terms.

__________________________________________________               _______________________
Entrant Signature(Parent/Guardian if the entrant is under the legal age of 18) Date