HICKORY RUN 2008 REGISTRATION

 

Name (print): ______________________________________________________________________________

Address: Street __________________________________________________________________________

City _____________________ State ________ Zip __________

Phone Number: ___________________________ E-mail address ___________________________________

Names of others in your group: ________________________________________________________________

Arrival (circle one):    Friday    Saturday        Number of people in your group: ______________

 
Description DVOA member Non-DVOA member Total
Training participants      
   Beginner x $4 x $5  
   Intermediate x $4 x $5  
   Advanced x $4 x $5  
Night O maps (not participants)      
   Beginner x $4 x $5  
   Intermediate x $4 x $5  
   Advanced x $4 x $5  
Sunday event maps (not participants)      
   White (introductory 2 to 3 km) x $4 x $5  
   Yellow (advanced introductory 2.5 to 3 km) x $4 x $5  
   Orange (intermediate 2.5 to 4 km) x $4 x $5  
   Green (advanced 3.5 to 5.5 km) x $4 x $5  
   Red (advanced 5 to 7 km) x $4 x $5  
Number of people staying in cabins x $3 x $4  
Number of people taking meal plan x $16 x $17  
Total (make check payable to DVOA)      
 
Workers are needed to help with cleanup (mostly in the dinning hall) after the event on Sunday. Are you willing to help with cleanup after the event? ________
 

WAVER OF LIABILITY

As a condition for participation in the Orienteering Event on September 13 and 14, 2008 I hereby release the DELAWARE VALLEY ORIENTEERING ASSOCIATION (DVOA) and each of its officers and members and others who have planned or participated in this event, from liability for any personal injury or property damage that may occur to me or any member of my group as a result of our participation at this event, whether caused by negligence or otherwise, and I hereby indemnify DVOA, its officers and members and any other organization or authorities and parks sponsoring the event, from any liability from injury or other damage or other expense caused by myself or any other member of my group.

Signed: ___________________________________________ Date: _______________

Mail completed form and payment (made out to DVOA) to:

Fred Kruesi
703 Brooke Road
Exton, PA 19341