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 2 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. 3 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 _____________________________________