Super Frosty Loomis

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Team name   First name   Last name   Email address   Date of birth    MM 01 02 03 04 05 06 07 08 09 10 11 12    DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    YYYY 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920    Gender -- Male Female   Hometown Other   -- AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT   Phone #   Emergency contact name   Emergency phone #   Distance Choose one 5K 10K   Category Choose one 1-18 19-29 30-39 40-49 50-59 60-69 70+ Choose one 1-18 19-29 30-39 40-49 50-59 60-69 70+   Event entry fee TBD

Are you an FLRC member in good standing? NoYes -5.00 USD Where did you learn about this race? FLRC Web Site FLRC Mailing List Post FLRC Facebook Post FLRC Postcard Calendar Paper Race Entry Form FLRTC Running Store Calendar/Newsletter Media Coverage Other Web Site/Race Calendar From a Friend Other Would a family member or friend be interested in volunteering? If so, please enter name and email.

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver I, the undersigned accept full responsibility for myself and for any injuries I may incur during the Super Frosty Loomis snowshoe race. I fully understand that participating in this event may be dangerous to my health. Hypothermia, sprained ankles, cuts, bruises, broken bones, insect bites, lacerations inflicted by sticks or barbed wire, and collisions with high-speed vehicles are real possibilities. I have trained sufficiently for this event. I will not hold any of the organizers, land owners, Finger Lakes Runners Club, Finger Lakes Trail Conference, Cayuga Trails Club, New York State Department of Environmental Conservation, Road Runners Club of America, Niagara Athletic Congress, TAC/USA, any agency within the state of New York, or any volunteers responsible. My actions and mishaps are accountable to no one but myself. I agree to withdraw from the race if so instructed by a race official. I fully understand that there will be no medical or rescue personnel on the course. I grant the race organizers the free use of my name and any photos or videos of me for any use related to the race that they see fit. If participant is under 18, agreeing to this waiver indicates that the parent or guardian has approved this activity. I accept the terms of the waiver Name of parent or guardian who approves this activity