1 2013 Bristol Dryland Championnat Canadien Course de Chiens

Transcription

1 2013 Bristol Dryland Championnat Canadien Course de Chiens
1
2013 Bristol Dryland Championnat Canadien Course de Chiens/
2013 Bristol Dryland Canadian Championship Dog Race
Oct. 26­27, 2013
REGISTRATION
Course/Race
Cout
d’inscription/
Registration
Fee
Chariot/Cart (8 chiens/dogs)
50$
Chariot/Cart (6 chiens/dogs)
40$
Pure Race Chariot/Purebred Cart (6 chiens/dogs)
40$
Chariot/Cart (4 chiens/dogs)
35$
Pure Race Chariot/Purebred Cart (4 chiens/dogs)
35$
Junior Chariot/Cart (2 chiens/dogs) (age 12­15)
gratuit/free
Scooter (2 chiens/dogs)
30$
Scooter (1 chien/dog)
30$
Junior Scooter (1 chien/dog) (age 12­15)
gratuit/free
Bikejoring (1 chien/dog)
30$
Junior Bikejoring (1 chien/dog) (age 12­15)
gratuit/free
Femmes/Women’s Canicross (1 chien/dog)
25$
Hommes/Men’s Canicross (1 chien/dog)
25$
Junior Canicross (1 chien/dog) (age10­15)
gratuit/free
Cochez/
Check
TOTAL
Total
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Nom du Coureur/Racer’s Name:__________________________________________________
Nom du Junior/Junior Racer’s Name:__________________________________Age___________
(moins de/if under 18)
Adresse/Address
Ville/City: ______________________________________________________________________
Province/State: _________________________________________________________________
Code Postal/Postal Code: ________________________________________________________
Courriel/E­mail: ________________________________________________________________
Téléphone/Phone Number: (________)______________________________________________
ISDRA # _________________________________________
CKC/AKC #____________________________________________________________________
*preuve nécessaire sur les chiens participant/purebred information must be available in the event a dog is in
question
En voyer paiement par mandat avant le 11 Octobre, 2013 ou payer en argent comptant à
l’àssemblée du 25 Octobre, 2013.
Nous n'accepterons pas les enregistrements tardifs (samedi matin)!
Send payments (cheque/money order) by October 11th, 2013 or pay cash in person on
registration day Friday, Oct 25th, 2013. We will not accept any late registrations (Saturday
morning)!
Veuillez remplir toutes les pages et poster à/Please fill all pages of the “Registration” and
“Waiver & Release” and send to;
Denis Rozon
36 Ragged Chute Rd.
Bristol, Quebec
Canada
J0X 1G0
Attention: Open Class Cart Racers 4, 6 & 8 Dog
To qualify for seeding, race registrations must be received by Friday, October 11th,
2013.
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Registrations received after this date will qualify for the bib draw which will be held on Friday,
October 25th, 2013 at the Pine Lodge 7:00pm­9:30pm. Starting positions will be drawn from a
hat and will follow the teams that have been seeded.
It is up to you to make sure the Bristol Dryland Race Committee receives your registration, either
in person or by mail, with the appropriate fees before October 11th, 2013 if you'd like to be
considered for seeding!!! Seeding will be done by the Bristol Dryland Race Committee who
will take into consideration the previous years race times.
Please send all registration papers along with cheque or money order to:
Bristol Dryland Dog Race
c/o Denis Rozon
36 Ragged Chute Road
Bristol, Quebec
Canada
J0X 1G0
If you have any questions or concerns please call Denis Rozon at 819­647­3185
Thank you
Attention: Tout les coureurs Chariot de 4,6 & 8 chiens
Pour avoir droit au tirage de choix, selon votre classement de l'anneé 2012, vous devez
faire parvenir votre enregistrement avant le 11 Octobre 2013.
Ex: ceux qui ont terminer parmis les 10 premier en 2012 partiront parmis les 10 premier en
2013. Chariot 8 chiens, chariot 6 chiens, chariot 4 chiens.
Enregistrement reçu après le 11 Octobre 2013, votre position sera tirer au sort (à même d'un
chapeau) le 25th Octobre 2013 à 21:30 Vendredi.
En voyer chèques à;
Bristol Dryland Course de Chiens
℅ Denis Rozon
36, ch Ragged Chute
Bristol, Quebec
Canada
J0X 1G0
I (print name) ___________________________________, hereby apply to participate in the Bristol Dryland Canadian
Championship Dog Race, organized by the Bristol Dryland Race Committee (BDRC) and sanctioned by the International Sled Dog
Racing Association (ISDRA).
I acknowledge that there are risks of injury to persons or possible damage to equipment while participating in a dryland dog race.
I further acknowledge that I am participating in this race at my own risk. I understand that BDRC and ISDRA are corporations
formed to advance the sport of sled dog racing, and that their efforts directly benefit me. In consideration of my being permitted to
participate in this race, on behalf of myself, my heirs, assigns and personal representatives, I hereby waive, release and forever
discharge BDRC , ISDRA any organizations or individuals involved in organizing and/or sponsoring this race, any municipalities or
other public entities, and all of their employees, agents, officers, directors, attorneys, members, sponsors, promoters and
affiliates whosoever from any and all liability, claim, loss, cost or expense for personal injury, death or property damage arising
from or attributable in any way to any action or omission to act of any such person or organization in the sanctioning, organizing
or execution of this Dryland Dog Race, or my participation therein, even though that liability may arise out of negligence or
carelessness on the part of the persons or entities mentioned above, including but not limited to travel to or from or parking at the
Dryland Dog Race. Knowing the above risks of dryland dog racing, I nevertheless hereby agree to assume those risks and to
release, discharge and hold harmless all of the persons or entities mentioned above who (through negligence, carelessness or
otherwise) might be liable to me or my heirs or assigns, for any and all damages for death,
personal injury or property damage of any kind. The risks which I assume are all of those involved in participation in a sled dog
event, including, but not limited to, those relating to trail conditions, weather conditions, passing of teams, contact between dogs
and mushers on different teams or the same team, starting and finishing the race, sanctioning and officiating the race, spectator
presence at the race, announcing and timing of the race, travel to and from and parking at the race, and all other natural and
manmade conditions of any kind whatsoever pertaining to or occurring at this dryland race.
I authorize the organization committee to take pictures and visual images of the performances and use them at their convenience.
Be advised: No abuse of dogs will be tolerated at the Bristol Dryland Canadian Championship Dog Race. All drivers will abide by
decisions of the Race Marshal regarding such incidences. Anyone physically or verbally abusing a race official or trail help will
be disqualified from that class.
Your signature on this entry form will bind you to Bristol Dryland Race Committee’s CODE OF ETHICS.
__________________________________________ _____________________________________________
Date
Owner/Driver Signature
If participant is under 18 years of age;
Name of Junior participant ___________________________________________
print
Signature of parent/legal guardian _____________________________________
Je_____________________________ applique pour participer au Championnat Canadien Bristol
Dyland course de chiens, organizer par Bristol Dryland et sanctionner par ISDRA.
Je constate que ma participation à cette course peut occasionner des blessures à ma personne
ou des dommage à mon équipment. Je dégage le comité organisateur de la course, le site de la
course ainsi que son propriétaire et l'ISDRA pour tout incident/accident pouvant survenir avant,
pendant et apès la course.
J'affirme être en bonne sante et etre en bonne forme physique pour participer à cette course.
J'autorise Bristol Dryland à utiliser des photos ou des images visuelles selon leur convenance.
J'affirme être totalement responsable envers mes chiens. J'accepte toutes décisions prise par
le Race Marshall. Toutes rudesse envers les chiens ne seront tolérer.
__________________________________________ _____________________________________________
Date
Signature du Musher
Participant 17 ans et moins;
Nom du jeune participant ___________________________________________
imprimer
Signature de la personne à charge _____________________________________