Standard Entry Form - Orienteering Usa

01/01/2008

US Orienteering Federation Standard Entry Form

INSTRUCTIONS: Consult the meet announcement and website to see which items below are applicable for this event.

USE ONE FORM FOR EACH ENTRANT. Sign the waiver, mail the completed form and payment to the event registrar.

1.

Name of event ________________________________________________

Dates of event __________________________________________

2.

Name of entrant ________________________________________________

Year of birth

Sex

Club ______________________

3.

Address: Street ________________________________________________

Phone (

)

SI card# _________________

City/State/Zip __________________________________________________

Email _________________________________________________

4.

Members of USOF, COF, or any IOF member federation are eligible for discounts at USOF “A” events. If you are eligible:

Federation

Mem. exp. date

and your ID number ___________________

5.

A-meet Event: Course

Category

Requests ______________________________________________________

6.

Special Events Course/Category information ____________________________________________________________________________________

7.

Eligible for Championship?

8. Donation, Membership, Other payments __________________________________________________

9.

Other info as indicated in event information _____________________________________________________________________________________

Babysitting Needed? ____________________________

Courses and Categories

Fees

. Courses have color name designations. Competitors are divided into

categories by gender (M for male, F for female) and age as of December 31 of the current year. M or F

Entry fees for A-meet event

_______

categories followed by course color are competitive non-age specific. Gr = group.

less USOF/COF/IOF discount

_______

WHITE

YELLOW

ORANGE

BROWN

BROWN

GREEN

RED

BLUE

F-10

F-14

F-16

F-18

M65+

F-20

F-21+

M-21+

Entry fee(s) for Special events

_______

F-12

M-14

M-16

F55+

M70+

F35+

M-20

SI card rental fee

_______

M-10

F-Yellow

F-Orange

F60+

M75+

F40+

M35+

Late fee

_______

M-12

M-Yellow

M-Orange

F65+

M80+

F45+

M40+

Meals

qty ___________

_______

M/F-White

Gr-Yellow

Gr-Orange

F70+

M85+

F50+

M45+

Gr-White

F75+

M90+

M-18

M-Red

T-shirts sizes ___________

_______

F80+

M-Brown

M50+

Other __________________

_______

F85+

M55+

Other __________________

_______

F90+

M60+

TOTAL

F-Brown

F-Green

M-Green

WAIVER OF RESPONSIBILITY

IF YOU DO NOT FULLY ACCEPT THE FOLLOWING CONDITIONS AND DO NOT SIGN THIS WAIVER, YOU WILL NOT BE PERMITTED TO PARTICIPATE IN THIS EVENT.

I, the undersigned, know that Orienteering, as an outdoor action sport, carries significant risk of personal injury. I know that there are natural and man-made hazards, environmental

conditions, and risks, which, in combination with my action, can cause me serious, or possibly even fatal, injury. I agree that I, as a participant, must take an active role in

understanding and accepting these risks, conditions, and hazards. I also agree that I, and not the organizers and officials of this event, the US Orienteering Federation, the land

owners or managers, or any sponsors, am responsible for my safety while I participate in this event.

Name (please print) _________________________________________________ Signature ________________________________________________________

Parent or guardian must sign if entrant is under 18 ______________________________________________________________ Date _________________________