JOLIET NORDIC 12K & 4K CROSS COUNTRY SKI RACE APPLICATION FORM |
Saturday, January 9, 2010 - 10:00a.m. (12K & 4K) 2 pages - Mail back page 1 only. Keep page 2 for your own information PRINT AND RETURN THIS PORTION |
Name:_________________________________________Birthdate:______________ Age:________ Sex:_______ Address:____________________________________City:______________________ State:______ Zip:_________ Telephone:___________________________ eMail Address: ____________________________________ Emergency Contact______________________________ Emergency Phone Number_________________________ Race Entered: _________ 12K Race ________ 4K Adult Race ________4K Junior (Place and "X" in the proper blank) _______Classical Skiing _______ Skate Skiing # of Races Completed_______ Bib #_________ Amount Enclosed: ________________________ Please read this form carefully and be aware that in signing up and participating in this program you will be waiving and releasing all claims for injuries you and/or your child might sustain arising form this program. I know that Nordic skiing is an action sport carrying significant environmental conditions and risks which independently or in combinationwith my activities may cause property damage, severe or evn fatal injuries to me or others. As a participant and/or a parent gurdian in the program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss which I may sustain as a result of participating in any and all activities connected with or associated with such programs. I agree to waive and relinquish all claims I may have as a result of participating in the program against the Joliet Park District, Joliet Nordic Ski Club and its officers, agents, servents, and employees. I do hereby fully release and discharge the Joliet Park District and the Joliet Nordic Ski Club and its officers, agents, servants, and employees from any and all claims from injuries, including death, damage or loss which I may have or which may accrue to me on account of my participation in the program. I further agree to indemnify and hold harmless and defend the Joliet Park District, the Joliet Nordic Ski Club and its officers, agents, servants, and employees from any and all claims resulting from injuries, including death, damages, and losses sustained by me and arising out of, concerned with, or in any way associated with the activities of the program. I HAVE READ AND FULLY UNDERSTAND THE ABOVE PROGRAM DETAILS AND WAIVER AND RELEASE ALL CLAIMS. _______________________________________________________ ___________________________ Participant Signature Date ________________________________________________________________ Parent/Guardian Signature (if under 18 years of age) 12K Race Fee - $20.00 4K Adult Fun Race - $10.00 4K Junior Race Fee - $10.00 |
GENERAL INFORMATION Date: Saturday, January 9, 2010 Time: 10:00 a.m. (12K & 4K Junior & 4K Adult Fun) Place: Woodruff Golf Course, Joliet, IL For more information: Contact Bill Kozol at (815) 722-6076. Race day call the clubhouse at (815) 741-7272. Club Website: http://www.jolietnordicski.org SCHEDULE OF EVENTS 10:00 a.m. 12K Adult Race, 4K Junior Race, 4K Adult Fun Race (Classical and Skate) 11:30 a.m. Awards COURSE DESCRIPTION The course will be groomed for both diagonal and skating if snow conditions allow. The race will be over rolling terrain. We will have a mass start. The 12K race will be three laps. The 4K race will be one lap REGISTRATION $20 - 12K Adults Race, $10 - 4K Junior Race (14 and under), $10 - 4K Adult Fun Race Both Classical or Skate skiing allowed Race day registration: Check in between 7:00am - 9:30 a.m. Make checks payable to Joliet Nordic Ski Club If registering by mail, postmark before January 2, 2009 and mail to: Joliet Nordic Race, P.O. Box 858, Joliet, IL 60434 AWARDS Awards will be given to the top three individuals in each class. Skiers can earn points which will be used towards the Illinois Nordic Series for overall age division champions. Top 10 in each age division earn points. You do not have to be an Illinois resident to enter. Male and female classifications are as follows: 14 & Under 20 - 29 40 - 44 50 - 54 60 - 64 70 & Over 15 - 19 30 - 39 45 - 49 55 - 59 65 - 69 SAFETY The National ski Patrol will be on hand in the case of emergency. Remember to dress appropriately. RAFFLE Please support our annual raffle. All donations are used to maintain our snow grooming equipment. Various prizes from REI, Toko, and other ski related prizes will be also raffled. (1) Raffle ticket will be included with your race registration. Additional raffle tickets are available for $1.00 each. DIRECTIONS Coming from I-80, you want to use exit #137, Maple Street (Rte30), and go west. From Rte 30, turn north onto Gougar Road. The golf course is about 1 mile up on the left-side of the road. Coming from I-355, take the Route 6 exit west to Gougar Road. Turn left on to Gougar. The golf course is about 1 mile down on the right-hand side of the road. There is a map available for downloading at: http://www.jolietnordicski.org ************************************************************************************************************************************T The Joliet Nordic Ski Club is a Not-For-Profit organiozation that promotes crosscountry skiing in the Joliet area. Proceeds from this race will be used to defray costs expended on snow grooming equipment. All trails are groomed at no charge to skiers by the Joliet Nordic Ski Club. Serving the Joliet area since 1989. |
