TC Paddle Entry
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ENTRY FORM -- Timucuan Challenge Paddle Race - Date: ____________

to benefit Climb for Cancer Foundation

 Presented by Performance MultiSports

Make check payable and mail to: 

Performance MultiSports - TC

365 Charlemagne Circle

Ponte Vedra Beach, Florida 32082

RACE ENTRY FEES:  Solo Kayak = $30 if postmarked more than three weeks before race; $40 until one week before race; and $50 on race day.  Tandem Kayak or Canoe = $50 if postmarked more than three weeks before race; $70 until one week before race; and $90 on race day. 

To enter, complete and mail in the entry form below:

PRINT NAME _____________________________________________________     ENTRY AMOUNT ENCLOSED: _______

                       First Name                            Last Name                     Additional Donation to Climb for Cancer Foundation $_______

EMAIL ________________________________________________________________    AGE (on race day) ______    

SEX:   F     M                   SHIRT SIZE:     M    L    XL
CHECK EVENT ENTERING (check one): Paddle Race/Short Marsh Course q   Paddle Race/Ft George River Course

                                                    Paddle Race/Full-length Marsh Course q      Non-race Tour q

TYPE OF KAYAK OR CANOE: Touring  or Sea Kayak q   Sit-on-Top Kayak q   Tandem  Kayak q   Canoe q  Other q                       If "other" describe here: _________________________________________________

ADDRESS ________________________________________________________________________ APT. ____________ 

CITY _____________________________________________________ STATE __________ ZIP ________________

PHONE/EVE ___________________   PHONE/DAY ____________________    BIRTH DATE: ____/____/____

EMERGENCY CONTACT ______________________________________ EMERGENCY PHONE ______________________

WAIVER: In consideration of this entry, I, the undersigned intending to be legally bound, hereby, for myself and anyone acting on my behalf, release any and all claims for damages I may have against the City of Jacksonville,  National Park Service, Performance MultiSports, Kayak Amelia, the Climb for Cancer Foundation and its directors, officers, employees, and agents, the race directors, volunteers, and any sponsors and their representatives, successors and assigns for any and all injuries and death suffered by me in said event. I attest and verify that I know that this competition can be a potentially hazardous activity. I have sufficiently trained for the completion of this event and know that I am participating at my own risk. I am also aware of the dangers of exercising or competing in hot weather and humidity. I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with participating in this event, including, but not limited to falls, contact with other participants, the effects of the weather, traffic, and the conditions of the surface, all risks being known and appreciated by me. I have read this waiver of liability and accept the risks and responsibility associated with entering this event. I hereby grant permission for the free use of my name and picture in any broadcast, brochure, or account of this event.

Signature ____________________________________ Parent________________________________ Date __________

Tandem Partner ____________________________ Signature of Tandem Partner __________________________

If participant is under 18 years of age, parent or Guardian must sign.

A portion of proceeds from this event benefit the Climb for Cancer Foundation

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Performance Multisports promotes healthy recreational opportunities in the NE Florida area. Performance provides athletes of many sports a way to meet, train, and socialize together, while giving back to the community, as it produces sports events for a variety of other non-profit organizations. 

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