Heads or Tails Registration 2015

This event is part of the Exygon and Baptist
Hospitals Gusher Marathon!
Date: Saturday, March 7, 2015
Time Trial Starts - 7:45 am
Held Under USA Cycling Permit: 2015-184
Location: Lamar University Montagne Center,
Beaumont, TX
Distance
Before
1/31/15
After
1/31/15
40K
$30
$40
10K
$20
$30
Awards: Three deep for each category will receive medals.
First place -gold, second - silver, and third - bronze.
All amenities available for the runners are also provided for
the cyclists including food, drinks, adult beverages,
entertainment, race day activities and vendors.
Texas Cup Series: All categories are part of the series, with
the exception of the Eddy Merckx and Open categories.
Held by the 501(c)3 nonprofit Sports
Society for American Health, which
hosts the Pleasure Island Bridge
Half Marathon, 10K & 2 Miler.
Categories (circle one):
40K Distance Men Pro/1/2
Men Cat 3
Men Cat 4
Men Cat 5
Women P/1/2/3/4
Women 4
Masters Women 40+ Cat 3/4
Masters Men 40+ Cat 1/2/3/4
Masters Men 50+ Cat 1/2/3/4
Masters Men 60+
Masters Men 35+ Cat 4/5
Junior Women 10-18
Junior Men 10-18 Cat 4/5
40K Eddy Merckx Style (mass start legal bike, no
disc wheels, no aero bars, no aero helmets, no
helmet covers).
10K Distance Open (beginners preferably)
Junior Women 9-14
Junior Men 9-14 Cat 4/5
(Juniors 9-14 must use mass start legal bikes with at
least 16 spoke wheels. No aero equipment.)
Paralympic 20K - Open _____________________
Relive the rush of the original Spindletop Gusher,
the first major oil field in the US!
Course: The route is a 10K out and back course along
South Martin Luther King Jr Parkway (TX State Highway
347). There is typically a headwind in one direction and a
tailwind in the opposite direction. Those completing the
40K will complete four laps. The cyclists will use the
inside lanes and the runners will be in the outside lane
along the course. There will be one minute start intervals.
Registration closes at packet pickup on Friday,
March 6th at 8 pm. No race day registration!
Cause: Join us in the national fight against obesity. We
have a distance for everyone.
Chip Timing: Iniguez Athletic Advertising & Promotions
(IAAPweb.com). There will be split times recorded every
lap.
Host Hotel: MCM Elegante - 409-842-3600
Packet Pickup: Edison Plaza, 350 Pine, Beaumont, TX
77701 - Friday, March 6th - 11 am to 8 pm
Packet Pick-up at Montagne Center near race start line on
Saturday, March 7th - 6 am to 7:25 am License: All racers must have an annual or one day license.
If you do not have an annual license, you may purchase a
one day license at packet pickup for $15.
SPORTS SOCIETY FOR AMERICAN HEALTH
EMAIL: [email protected]
WWW.SPORTSSOCIETYFORAMERICANHEALTH.ORG
WWW.THEGUSHERMARATHON.COM
http://www.facebook.com/headsortailscyclingTT
REGISTRATION
Online registration: www.athletepath.com/heads-ortails-cycling-time-trial/2015-03-07
Name:_________________________________________
Street:_________________________________________
City:____________________State:_____ Zip:_________
Phone:___________________________ Gender: M or F
Email:__________________________________________
Emergency
Contact:____________________ Phone#:_____________
Age on race: __________ DOB: ____________________
USA Cycling License #: ___________________________
(leave blank if you need to purchase a one day license)
(you will be able to purchase a one day license for $15 at
packet pickup)
Select your category by circling one of the options in the
left panel.
If registering for the Paralympic Category, please write in
whether you will be on an upright, hand cycle, or
recumbent.
If you are running the 5K or half marathon before cycling,
please let us know what distance and your estimated finish
time so we can slot you into an appropriate start time.
Category and Rider start times will be posted on the
registrations site at Athletepath.com and on our facebook
page.
Remit to: Sports Society for American Health
PO Box 608, Beaumont, TX 77704
† MANDATORY WAIVER ¢
In consideration of your acceptance of this entry, I hereby, for myself,
my heirs, my executors and administrators waive any and all rights
and claims for damages I may have against Sports Society for
American Health, its respective representatives and successors, and
all sponsors, and will hold them harmless from injury suffered in this
event. Also, none of the above is responsible for the loss of personal
items nor any other form of aggravation in connection with this event. I
must be in good health to participate and assume the risks associated
with this event. Fees are non-refundable.
SIGNATURE: ______________________________
SIGNATURE OF PARENT OR GUARDIAN (if under 18):
_______________________________________
DATE: ______/______/_____