2011 SISKIYOU SLED DOG RACE ENTRY FORM
Please copy and send this form along with your entry fees, Biography and Photo to: SSDSA, P.O. Box 867, Yreka, CA 96097
Name:__________________________Age: _____ Yrs racing: _____
Address_________________________________________________
City: ____________________________State:________ Zip:__________
Phone: ( )________________Cell/Pager: ( )_______________e-mail:___________________________________
I am entering the following races
___ Unlimited Open Dog Class - 27 Miles Both Days - (Starting times of all races to be determined later)
___ 6 Dog Mid–Distance Race – 13.5 miles each day
___ 8 Dog Sprint Race – 8 miles each day
___ 4 Dog Sprint Race – 5.1 miles each day
___ 6 Dog Sprint Race – 5.1 miles each day
___ 1 or 2 Dog Skijor Race – 5.1 miles or less each day
NOTE: There will be a mandatory 8:00 AM meeting Saturday and Sunday morning to finalize the start times and rules for each race.
Total amount enclosed $ ________________( $5o each for all races)
LODGING with a HOST FAMILY:
The SSDSA is very interested in placing racing teams with a host family for the event.
Yes____ No_____ I am interested in host family lodging for myself and my team:
I plan to arrive on Jan. ____ and depart on Jan. ____, 2011. No. of Adults ____ Children _____ Dogs _____
Special requirements _______________________________________________________________________
TRAINING
Yes____ No_____I plan to train my team on the Race route before the Race Weekend and would be interested in a host family lodging from __________ till ____________(Dates).
We want to help! Please accept our gift (large or small) to be used to insure the future of the Siskiyou Race Weekend Events in Siskiyou County. This gift donation is in addition to my entry fee and is not tax deductible. $______________ Gift
TOTAL ENCLOSED: $_______________ – Check number: ____________
Make Checks Payable to: SSDSA.
Mail to: SSDSA, P. O. Box 867, Yreka, CA 96097.
You will receive a receipt for your entry.
Entry fees refundable up to the day before the event. Entry fees will be refunded if injury, rain, or lack of snow cause an entrant not to start a race.
Agreement to Hold Harmless, and Statement of Responsibilities:
(Please sign and Initial as designated below and return this form with you entry Fee)
I, ____________________________________hereby apply to participate in the Siskiyou Sled Dog Races departing from Deer Mountain/Chuck Best Snow Park in Siskiyou County, Klamath National Forest, California as defined by the Siskiyou Snow Dog Sporting Association, Inc.
______ I acknowledge that sled dog racing is an inherently dangerous sport.
______ I agree to maintain safe practices for the protection of myself, my handlers, my dogs, other participants, observers, sponsors, and hosts. On behalf of myself, my heirs, assigns and personal representatives,
______ I hereby waive, release, and forever discharge any and all liability for personal injury, death or property damage to the following entities: Siskiyou Snow Dog Sporting Association, it’s members and volunteers; any individuals or spectators; municipalities, public entities or organizations involved in and/or sponsoring this race or event, and all their employees, members and agents.
______I realize that this liability may arise out of my own negligence and carelessness, or the negligence or carelessness on the part of the persons or entities mentioned above.
Signed: ___________________________________________ Date: _______
Please e-mail a picture and description of yourself and/or your team to : info@siskiyousnowdogsports.net
ADDITIONAL RACE WEEKEND EVENTS:
Manditory Pre race 8AM morning mushers meetings at Deer Mountain/ Chuck Best Memorail Snowmobile Park Race Start Line
Awards Ceremony at the Weed Mercantile Mall Weed CA Sunday Night, January 24, 5PM
Siskiyou Sled Dog Races are a project of the SSDSA, a 501c6 non-profit organization. Siskiyou Sled Dog Races are held under a Special Use Permit from the U.S. Forest Service on a non-discriminatory basis.
For more info, write to info@siskiyousnowdogsports.net or call 530-467-3009 or 530-598-0466. Send mail to: SSDSA, P. O. Box 867, Yreka, CA 96097