2016 Yukon Quest Dawg Gone Canoe Race – July 23, 2016 Entry Form Entrant Information PLEASE PRINT CLEARLY Dawg Driver Name _______________________________________________________________ Mailing Address ______________________________________________________________________ Phone Number __________________ Email _____________________________________________ Signature __________________________________________________ Date ________________ Dawg Handler Name _____________________________________________________________ Mailing Address ______________________________________________________________________ Phone Number __________________ Email _____________________________________________ Signature __________________________________________________ Date ________________ Dawg Name _____________________________________________________________ Event Information Entry fee is $50 per Team. Entrants must provide their own canoe and personal flotation device. Entry fee must be received along with this completed entry form and the Release and Hold Harmless agreement to be considered an official entry. Entry deadline is July 22nd. This is not a race and that speed in no way determines the outcome of the event. By signing this entry form the entrants signed herewith agrees not to engage in racing or any other unsafe activity in connection with the Yukon Quest Dawg Gone Canoe Race. Sign in will be at Graehl Landing (in front of ProMusic) at 2:30pm. At 4:00pm there will be a mass start. At each of 5 (five) checkpoints the Dawg Handler and Dawg must get out of the canoe and go up to the checkpoint, pick a playing card from the Checker and return to their canoe. The five checkpoints will be the Morris Thompson Cultural & Visitors Center, William Ransom Wood Centennial Footbridge (North side of the Chena), Elks Lodge, Pioneer Park and the finish line at the Boatel Bar. Food and awards will be provided. Personal floatation devices must be worn at all times while on the water. All dogs must be leashed. Must be 21 or older with a valid ID to participate. No firearms, drugs or alcohol. NOTE: This is a rain, shine or snow event with no refunds offered. No refunds for cancellations or no shows. ---------------------------------------------------------------------------Make checks payable to: Yukon Quest Visa/MC ______________________________________ Expiration Date: ____________ Total amount paid $______________ Cash ____________ Rec’d by ________________ Email: [email protected] Thank you for your participation and support of the only 1,000 mile International Sled Dog Race in the world! ALASKA 550 First Avenue, Fairbanks, AK 99701 Phone: 907.452.7954 Fax: 907.452.7959 Email: [email protected]
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