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Microsoft word - rogaine entry forms 2008.doc2008 LEWIS AND CLARK CUP - ROGAINE
WHEN: Saturday, October 11, 2008
WHERE: Bernheim Arboretum and Research Forest
State Highway 245
Clermont, KY 40110
WHAT: A rogaining competition is a race between teams traveling on foot and limited by time.
Competitors use maps, magnetic compasses and navigational skills to travel from a starting point passing a number of checkpoints based on their chosen course and finally to a finishing point. The start, finish and checkpoint locations are marked on the event map. A base camp provides hot meals and teams may return at any time to eat, rest or enjoy the fellowship. There will be 12-hour
WHO: Orienteering Louisville ( www.olou.org )
MAP: The map will be a modified 1:24,000 scale USGS topographic map.
SCHEDULE: 12-hour - Packet Pick-up 7:30 AM - Start: 9:00 AM /Eastern Daylight Time \
4-hour - Packet Pick-up 9:00 AM - Start: 10:00 AM \same as Louisville, KY/
DIVISIONS: Male, Female and Co-ed teams may compete in the Open, Masters (40+), or
TEAMS: Teams will consist of 2-5 members. No solo competitors will be allowed in this event.
Junior teams must be experienced in orienteering and the recommendation of a parent or adult leader is required for the 12-hour event.
AWARDS: Awards will be given to the top 3 teams in each category. Categories may be
grouped depending on registration numbers. The Lewis & Clark Cup will be given to the overall
FEES & REGISTRATION DEADLINE: Early registration fee includes a T-shirt and is
$45 per person for the 12-hour division and $25 for the 4-hour division if postmarked by 9/27/08. Normal registration fee includes a T-shirt and is $50 for the 12-hour and $30 for the 4-hour from 9/28/08 to10/4/08. Late registration fee after 10/4/08 is $55 for the 12-hour and $35 for the 4-hour and a T-shirt will not be included.
LODGING: A variety of options are available along I-65 south of Louisville. Additional
information will be posted on the club website: www.olou.org For more information, contact: Paul Vice (502) 584-4222 email: firstname.lastname@example.org 2008 LEWIS AND CLARK CUP - ROGAINE
Select Division: OPEN MASTER JUNIOR Select Class: Male Female Coed
TEAM NAME: _________________________ CAPTAIN: ________________________ ADDRESS: ______________________________________________________________ PHONE: __________________________ Email _________________________________ Entry: # of persons____ X $45.00 or $25.00 (postmarked by 9/27/08) = _______ Entry: # of persons____ X $50.00 or $30.00 (postmarked by 10/4/08) = _______ Entry: # of persons____ X $55.00 or $35.00 (postmarked after 10/4/08) = _______ Entries postmarked by 10/4/08 will receive a T-shirt with their registration. All team members must sign the release. Juniors under 18 must have a parent or guardian signature.
WAIVER OF RESPONSIBILITY
IF YOU DO NOT FULLY ACCEPT THE FOLLOWING CONDITIONS AND DO NOT
SIGN THIS WAIVER, YOU WILL NOT BE PERMITTED TO PARTICIPATE IN THIS
I, the undersigned, know that Orienteering, as an outdoor action sport, carries significant risk of personal injury. I know
that there are natural and man-made hazards, environmental conditions, and risks, which, in combination with my action, can cause me serious, or possibly even fatal, injury. I agree that I, as a participant, must take an active role in understanding and accepting these risks, conditions, and hazards. I also agree that I, and not the organizers and officials of this event, the US Orienteering Federation, the land owners or managers, or any sponsors, am responsible for my safety while I participate in this event. Age Signature (Parent or guardian if under 18) T-Shirt Size _______________________ _____ ___________________________________ ________ _______________________ _____ ___________________________________ ________ _______________________ _____ ___________________________________ ________ _______________________ _____ ___________________________________ ________ _______________________ _____ ___________________________________ ________ Make checks payable to: Orienteering Louisville (or OLOU)
NAYLOR CLINIC OF CHIROPRACTIC & ACUPUNCTUREDavid K. Naylor, D.C., Dipl. Ac. (NCCAOM)612 South Church Street Burlington, NC 27215Phone: (336) 229-4226 Fax: (336) 229-6800 NUTRITIONAL EVALUATION Tests Used for Analysis: Comments: Patient Symptom Survey. Patient's comments: My concerns are fatigue and hair loss. This analysis and the recommendations are not for the purpose of t