American Canoe Association WWOC Slalom Nationals

1999 ACA WWOC Slalom Nationals Entry Form

Name: _____________________________________ Sex: ____ Date of Birth: ___________
Address: _____________________________________________ ACA# _________________
City: ________________________ State: __________________ Zip: ___________________
Phone: ______________________ e-mail: _________________________________________

Pre-registration (postmarked by June 21) $25 per person (for one race class); each additional class is $10. Late Registration fee $10. If you are not an ACA member, add $5 for event membership to cover insurance. One Race T-shirt is included per entry packet ($10 for each additional T-shirt). Additional $7 for BarBQ dinner ticket for Saturday's Race Dinner..
In the lists below, mark the classes you wish to enter (maximum 5 classes).
Competitors may race in both REC and RAC classes, but not for the same class.

Saturday July 10 - Slalom Sunday July 11 - Slalom
Class RAC REC Partner's Name Class RAC REC Partner's Name
OC-2 Cadet/Senior ____ n/a ________________ OC-2 Premier ____ ____ ________________
OC-2 Mixed ____ ____ ________________ OC-2 Masters ____ ____ ________________
OC-2 Junior ____ n/a ________________ OC-1 Premier Short ____ n/a  
OC-1 Master n/a ____   OC-1 Junior ____ n/a  
OC-1 Premier n/a ____   OC-1 Masters Short ____ n/a  
OC-2 Women ____ n/a ________________ OC-1 Women ____ ____  
OC-1 Master Med ____ n/a   OC-1 Premier Med. ____ n/a  

( the Slalom portion of the Combined event will be held Sat and Sun, the race order decided later)

Monday July 11 Combined (Downriver Sprint portion of the Combined event)

Class RAC REC Partner's Name   Make checks payable to:
OC-1 Women ____ ____     Rocky Mt. Canoe Club-Nationals
OC-2 Mixed ____ ____ _____________________________   Send payment & completed forms to:
OC-1 Premier ____ ____     Jill Stecker, '99 Nationals
OC-2 Premier ____ ____ _____________________________   279 Forrest Lane
Basic registration fee ($25) $ ________   Boulder, CO. 80302
No. of additional classes you will enter____x $10 $ ________    
ACA event membership ($5) $ ________    
Late registration fee ($10 if after Jun 21th) $ ________    
No. of $7 tickets for the BBQ ____. $ ________    
No. of extra T-shirts ($10) S___M___L___XL___. $ ________   Total amount enclosed $________
Your T-Shirt Size _______      



In consideration of being allowed to participate in any way in the American Canoe Association, Inc. athletic/sports programs and related events and activities, the undersigned:

1. Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor of such condition(s) and refuse to participate.

2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severs social and economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.

3. Assume all the foregoing risks and accept personal responsibility for damages following such injury, permanent disability or death.

4. Release, waive, discharge and covenant not to sue American Canoe Association, Inc., its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releasees," from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or part by the negligence of the releasees or otherwise.


_______________________________ ____________ ___________ __________
signature of participant ACA memb. # date of signing date of birth

_______________________________ __________________________________
printed name of participant address, city, state, zip

club or organization:___________________________________________________________

When the participant is a MINOR (under 18 yrs.): Age of participant:_______

___________________________ ___________________________ ___________
signature of parent or guardian printed name of parent or guardian relationship

Be sure to complete and return both forms

For additional entry information phone Bob or Jill Stecker (303) 444-3979, 8am-6pm MST,
or email

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