Bardstown BoatersWhitewater paddlers in Bardstown, Kentucky … Join us

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OFFICIAL ADVENTURE RACE ENTRY FORM

Mail Entries to:

Bourbon City Challenge Adventure Race
1924 Boston Road
Bardstown, KY 40004

Or use the form below:

Payment may be made in cash or check day of event, but only with pre-registration notice to event coordinator by either email, letter to above address or phone call.

Checks can be made payable to "Adventure Race".

Your Name: *

Your Email: *

Subject:

Category of Entry: *

If a relay team, how many on the team?

Name(s) of Team Member(s): *

Age(s) of Team Member(s):
(under 18 need note from parents) *

Names of Any Support Staff:
(those helping team or participant with bikes, boats etc.)

Address(es) of Participant(s): *

Phone Number(s) of Participant(s): *

Email for Participant(s): *

Method of Payment: *

How did you hear about event? *

Do you intend to camp (free with entry fee) the night before the event at Horizon Hoppers Adventure Services site - Located at Bardstown-Nelson County Airport. Will you be camping with a tent or camper or RV? *

Does participant(s) intend to supply their own boat, or will they be renting from Central Kentucky Canoe and Kayak (for the reduced rate of $20) *

Comments:

Refund Policy - Paid participants can recieve a refund if they need to pull out of race, but only if giving event coordinator one week's notice of cancellation.

Waiver (must be signed by all participants) - Print this out and turn in day of event to save time.

In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against organizers, officials and sponsors of the Bourbon City Challenge Adventure Race, volunteer property owners, publicly owned properties and their respective governing agencies and all others tied to the event for injury or illness which may directly or indirectly result from my participation in this event. By signing this waiver, I give Bourbon City Challenge Adventure Race organizers and staff all rights to use photos taken during the event that may be used in further publications, including media purposes.

Signed ____________________________________________

Signed ____________________________________________

Signed ____________________________________________

Signed ____________________________________________

_______ My Entry Fee of $30.00 per racer is included with this registration.

_______ My Entry Fee of $30.00 per racer will be paid on race day and this registration is to be used as notice of intent to participate.