2018
MichiganState Long Track Meet
SANCTIONED BY AND IN COOPERATION WITH
THE MICHIGAN SPEEDSKATING ASSOCIATION & US SPEEDSKATING
SPONSORED BY
PETOSKEY SPEEDSKATING CLUB
At
WinterSportsPark
PETOSKEY, MICHIGAN
Saturday January27th, 2018 at 10:00 SHARP
CHECK IN: 8:30am – 9:30am
WARM-UP: 9:30am
Racing will begin promptly at 10:00am
ENTRY FEE: Skater: $30.00 Family: $60.00
Fee must accompany entry. Make checks payable to Petoskey Speedskating Club.
Registration closes 1/24/2018 NO LATE ENTRIES!
Awards: 1st, 2nd, 3rd, & 4th Meet Organizer: Ed Russell
Mail Entry To: Holly Russell, 11075 Townline Rd., Charlevoix, MI49720 or
Email:
Phone: 231-347-5934
The race schedule will be per MSA requirements and may be changed at the direction of the sponsors or officials.
Note that you must be a registered member of the MSA and US Speedskating to participate.
250 METER TRACK Equipment required: Long sleeve jersey and gloves.
****Bring your sleds to take a few runs after skating!!!
Cut along dotted line
(Please return bottom portion with entry fee)
------
January 27,2018
MichiganState Long Track Meet -Release Form
In consideration of the acceptance of my entry in the above event, I hereby waive, release and discharge any and all claims for damages for death, personal injury or property damage which may have, or which any hereafter occur to me as a result of my participation in said event. This release is intended to discharge in advance the promoters, sponsors and any involved municipalities of other public entities (and their respective agents and employees) from and against any and all liability arising out of or connected in any way with my participation in said event, even though the liability arises out of the negligence on the part of the persons or entities mentioned above. It is further understood and agreed that this waiver, release and assumption of the risk is to be binding on my heirs and assigns.
Applicants Signature Parent/Guardian (if under 18) Date
______
Please accept my entry in the above mentioned speedskating races.
Class______
Birth date___/___/___Age______(as of 7/1/17)
Print Name______Male/Female______
Address______City______State___Zip_____
Club Affiliation______Phone (____) ______