2018 Insomniac Night Series Entry Form
User Manual: 2018-Insomniac-Night-Series-Entry-Form
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Insomniac Core Trail Series - 2018 Pass First Name Last Name Address City State Zip Email Address Phone Male Age on Race Day Female Date of Birth M M D D Y Y Y Y Entry Fees (Please Check Box) Races: Sinister— 4/28 Adrenaline— 5/19 The Jitters Pass 9 Km 10 Km Vigil Pass Hypnosis— 6/23 Vertigo— 8/4 8 Km 10 Km Javelina Jangover— 9/29 7 Km Until 2/23 Until 4/24 $149.65 $181.70 27 Km 27 Km 23 Km 31 Km 25 Km $192.40 $227.12 Delirium Pass 54 Km 54 Km 54 Km 54 Km 50 Km $256.51 $295.26 Evolution Pass 9 Km 10 Km 23Km 31 Km 50 Km $188.11 $222.57 *Race entry fee does not include $6/vehicle Maricopa County Regional Park entry fee due at gate on race day Offer Add a Headlamp—Pick up at the Race Reusable Aravaipa Cup $31.89—Spot (300 Lumens) Shirt Cut Male Female Youth XSm Sm Med Lg XL $5.32 2XL Shirt Size Please include your entry fee and mail to: (checks payable to ARAVAIPA RUNNING) Aravaipa Running 11049 N 23rd Drive # 102 Phoenix, AZ 85029 Event Waiver & Release This waiver covers the Insomniac Trail Runs Series Pass. I understand that running on trails is strenuous exercise and has some danger. I give statement that I am in good health and there is no medical reason that I should not attempt such a feat. I know that running on trails poses many hazards, not limited to falls, bad weather, rockslides, getting lost, wild animal attack and generally dangerous conditions. I am entering this event with full knowledge that I could easily be hurt or face life threatening injuries. I fully assume all risks of injury, illness or death, and release covenant not to sue, and discharge San Tan Mountain Regional Park, United States, Estrella Mountain Regional Park, McDowell Mountain Regional Park, White Tank Mountain Regional Park, City of Goodyear, Maricopa County, Aravaipa Running LLC, USA Track & Field, the race director, volunteers, all sponsors, and any individuals or groups associated with this event, all actions, claims or demands for damages arising out of my participation in this event. The forgoing release is binding upon me personally, as well upon my heirs, executors, and administrators, and all members of my family, or anyone else who may make claim on my behalf. Entry fees are non-refundable and non-transferable. I further grant my irrevocable permission to Aravaipa Running LLC, and its authorized agents, to use my name and any photographs, videos, motion pictures, recordings, or any other record of my participation in this event. No REFUNDS or TRANSFERS once entry is accepted. Signature Signature of Parent/Guardian if under 18 Years Date
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