"Night Moves" Full Moon Race

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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 2021 2020 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    Gender -- Male Female   Part of a 3-person series team? Choose one Allegro BBTA Skiing Giraffes Going To Determine Team At A Later Date. Ryan's Cool Winning Team TBD Team Collins The ANSA 3 The Dawgs The Singing Unicorns Unknown Yarpow! Yellow Snow Other     Name of school/club team Choose one Agamenticus Ski Club ASC Auburn Nordic Ski Assoc Falmouth High School Ski Team Freeport-Pownal Greely M Nonstop Nordic Portland Nordic Quarry Road Ski Club YARPOW! Other     Phone #   Address   Emergency contact name   Emergency phone #   City   State / Province   Distance Choose one 4km for Middle School 6km for High School and Citizen   Category Choose one Middle School Choose one Citizen Age 18-29 Citizen Age 30-49 Citizen Age 50+ High School 11/12th Grade High School 9/10th Grade   Event entry fee TBD

Have you ever ski raced at night before? What is your bedtime? Dp you want to purchase a long sleeveT-shirt NoYes 20.00 USD Image of long sleeve t-shirt View image T-shirt size Choose one Child's Large Women's Small Women's Medium Women's Large Men's Small Men's Medium Men's Large Men's Extra large

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver NONSTOP NORDIC Acknowledgment and Assumption of Risk and Release (Please read carefully before signing). Please read this risk waiver carefully before signing. Entry into NONSTOP NORDIC events is permitted only for those competitors who have valid risk waivers signed by themselves and, where the competitor is under 18, signed also by their parent or guardian. In consideration of the rights and privileges associated with participation in events organized by Nonstop Nordic, I agree and acknowledge to be bound by the following: Identification of Risks. I understand that preparation for and participation in cross country skiing, competitions (“the Activity”) involves risk of serious injury, including permanent disability, death, and other losses, both to me and my property. I understand that these injuries and losses might result not only from my actions, but from the actions, inaction, or negligence of others. Inherent dangers and risks include, for example, weather conditions such as wind and cold resulting in frostbite, existing and changing snow conditions, collisions with natural and man-made objects and other skiers, variation in terrain and the failure of skiers to ski within their own ability and physical fitness levels. Assumption of the Risk. I agree that I am responsible for my safety while participating in the Activity, and that such responsibility includes participating in the Activity only: a) when I am both physically and psychologically prepared to participate safely, b) after fully familiarizing myself with the venue before beginning the Activity, including the weather and snow conditions, race course layout and obstacles that a visual inspection would have revealed, and c) while using the equipment of a type and condition reasonably necessary to safely participate in the Activity. I assume all risks connected with responsibility for any injury or loss connected with my participation in the Activity. Waiver. Aware of the risks and willing to assume them, I hereby waive, release, and hold harmless Nonstop Nordic, and each of those organization’s affiliates, subsidiaries, officers, directors, employees, agents, coaches, trainers, doctors, officials, event organizers or sponsors (“Released Parties”) from all claims by me for any liability, injury, loss or damage in any way connected with my participation in the Activity, except where caused by gross negligence or willful or wanton misconduct of any of the Released Parties. I intend for this waiver and release to also apply to any relatives, personal representatives, heirs, beneficiaries, next of kin or assigns who might pursue any legal action or claim on my behalf. COVID-19 Risks. I understand that Coronavirus, COVID-19, is an extremely contagious and dangerous virus that spreads easily through person-to-person contact. The CDC recommends physical distancing, face coverings, cleaning and sanitizing procedures, and small group sizes to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability and death. Even after taking all possible precautions, participating in Nonstop Nordic programs and events may increase the risk of contracting COVID-19. Applicable Law. This waiver and release informed under and is to be interpreted consistent with laws of the United States of America. Insurance. I currently have, and agree to maintain throughout the time that I participate, valid and sufficient medical and accident coverage. I understand that this is my sole responsibility and release all persons and entities from providing this coverage for me. I HAVE READ CAREFULLY THIS WAIVER AND RELEASE, AND HAVING DONE SO I AM SIGNING IT VOLUNTARILY. Member authorizes Nonstop Nordic to obtain medical care for, or transport him/her to a medical facility or hospital if, in the opinion of NONSTOP NORDIC, medical attention is required and Member is unable to make such decisions for himself/herself. Member agrees to pay all costs associated with such medical care and related transportation and shall indemnify NONSTOP NORDIC of and from any such costs. The Agreement shall be construed in accordance with, and governed by substantive laws of, The State of Maine, without reference to principles governing choice of conflicts of laws. In addition, Member agree that all lawsuits for personal injury or related loss against NONSTOP NORDIC must be maintained in state courts sitting in Maine for federal district courts sitting in the District of Maine, and member consents and agrees that jurisdiction and venue for such proceedings shall lie exclusively with such courts. In the event any portion of this release is found to be unenforceable, the remaining terms shall be fully enforceable. HAVING CAREFULLY READ THE FOREGOING AND UNDERSTANDING IT TO BE A LEGALLY BINDING RELEASE AND INDEMNITY AGREEMENT, *MEMBER SIGNIFIES THEIR ASSENT TO THE ABOVE TERMS BY SIGNING BELOW: *For Clubs, Organizations or Corporations this must be the OFFICIAL LEGAL REPRESENTATIVE who signs on behalf of the organizations BOARD OF DIRECTORS (usually SECRETARY, PRESIDENT OR VICE PRESIDENT) PARENT OR GUARDIAN SIGNATURE REQUIRED FOR ALL MINOR MEMBERS: As the parent or guardian of the minor Member named above, I hereby make and enter into each and every agreement, representation, waiver and release described above on behalf of myself, the Member, and any other parent of guardian of the Member, intending that they be binding on me, the Member, and our respective heirs, executors, administrators and assigns, I intend to give up my right, the Member’s rights, and the rights of any other parent or guardian to maintain any claim or suit against NONSTOP NORDIC arising out of the Member’s participation in any Activities involving NONSTOP NORDIC in any way. I believe and represent that I HAVE LEGAL AUTHORITY TO MAKE THESE AGREEMENTS, REPRESENTATIONS, WAIVERS AND RELEASES, AND I AGREE TO DEFEND AND INDEMNIFY NONSTOP NORDIC from and against any and all liability arising out of any lack of authority on my part to legally bind the Member, or any unenforceability for any reason the above agreements, representations, waivers and releases made by or on behalf of the Member. PLEASE CHECK THE ACCEPT BOX AND INITIAL IF YOU AGREE TO THESE TERMS I accept the terms of the waiver Name of parent or guardian who approves this activity Please enter your name here