2017 Willow Springs Round Barn Sled Dog Rally Jan. 28-29, 2017 5480 Hillcrest Drive Wausau, Wi Driver Name:_________________________________________________________ ISDRA #____________ Driver Address:____________________________________________________________________________ Phone #: _______________________________ E-mail: ___________________________________________ Parent’s signature if driver under 18: __________________________________________ Age of Minor______ Team Owner & address if different from Driver I wish to enter: Entry Fee _______________________________________________________________________________ ADD $10.00 if you ADD $6.00 if you are not a Trailblazer Member are not an ISDRA member Sub-total Class A (Professional/Competitive racing - ISDRA Sanctioned events) Check : ___ 10 –dog $60.00 _____________ _____________ _____________ ___ 6-dog $37.00 _____________ _____________ _____________ ___ 4-dog $26 .00 _____________ _____________ _____________ (ISDRA sanctioned _____________ _____________ ___ 1 or 2 dog Skijor $25.00 _____________ 2-dog only) Registered Breed (ISDRA Sanctioned events) ___ 10 –dog $60.00 _____________ _____________ _____________ ___ 6-dog $37.00 _____________ _____________ _____________ ___ 4-dog $26.00 _____________ _____________ _____________ Class B (Sportsman/novice racing – ISDRA Sanctioned events) ___ 10-dog $37.00 _____________ _____________ _____________ ___ 6-dog $27.00 _____________ _____________ _____________ ___ 4-dog $23.00 _____________ _____________ _____________ _____________ _____________ _____________ Skijoring (Sanctioned 2-dog only) ____ 2 or 1 dog, $25.00 Sport Class (ISDRA membership not required) ___1 or 2 dog Skijor/Kicksled - $15.00. ADD $10.00 if not a member of Trailblazers. ____________ Junior Class (Trailblazer or ISDRA membership not required. However, if racing for ISDRA points must be a member of ISDRA.) ____Junior 3-dog (8 years or older) $14.00 ____ Junior 2-dog (7 years of older) $14.00 TOTAL _____________ Willow Springs Round Barn Sled Dog Rally - Continued Jan. 28-29, 2017 Please read: I understand photographers, will be doing video and still photography of this event. These images may be used for promotion of WTB events and for the enjoyment of others. They may appear in public media, social internet sites and/or other places for public viewing. If you choose NOT to have your image used as described you must check here ___________. Sign ___________________________________________________________ date:______________ Important race rules: Dog bags required in all sled classes except Juniors not competing for ISDRA points. Dog bags must be capable of carrying any dog not able to finish the race on the gangline and meet minimum ISDRA ventilation requirement. Dog bag must be carried on the sled. No abuse of dogs will be tolerated at Wisconsin Trailblazer races. All drivers will abide by all decisions of Race Marshall regarding any such incidence. Anyone physically or verbally abusing a Race Official will be disqualified from that class. Please – no abuse of trail help. No whips allowed. Please park in the same spot both days. I, (print name)____________________________________, hereby apply to participate in the Willow Springs Round Barn Sled Dog Rally organized by Wisconsin Trailblazers Sled Dog Club (WTSDC) and sanctioned by the International Sled Dog Racing Association (ISDRA). I acknowledge that there are risks of injury to persons or possible damage to equipment while participating in a sled dog race. I further acknowledge that I am participating in this race at my own risk. I understand that WTSDC and ISDRA are corporations formed to advance the sport of sled dog racing and that their efforts directly benefit me. In consideration of my being permitted to participate in this race, on behalf of myself, my heirs, assigns and personal representatives, I hereby waive, release and forever discharge WTSDC, ISDRA, any organizations, businesses or individuals involved in organizing and/or sponsoring this race, any involved municipalities or other public entities, and all of their employees, agents, officers, directors, attorneys, members, sponsors, promoters and affiliates whosoever from any and all liability, claim, loss, cost or expense for personal injury, death or property damage rising from or attributable in any way to any action or omission to act of any such person or organization in the sanctioning, organizing or execution of the Willow Springs Round Barn Sled Dog Rally, or my participation therein, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above, including but not limited to travel to or from or parking at the Sled Dog Race. Knowing the above risks of sled dog racing, I nevertheless hereby agree to assume those risks and to release, discharge and hold harmless all of the persons or entities mentioned above who through negligence, carelessness or otherwise might be liable to me or my heirs or assigns for any and all damages for death, personal injury or property damage of any kind. The risks which I assume are all of those involved in participation in a sled dog race, including but not limited to those relating to trail conditions, weather conditions, passing of teams, contact between dogs and mushers on different teams or the same team, starting and finishing the race, sanctioning and officiating of the race, spectator presence at the race, announcing and timing of the race, travel to and from and parking at the race, and all other natural and manmade conditions of any kind whatsoever pertaining to or occurring at the race. _______________________________________________ Owner/Driver signature Date _______________________________________________ Parent signature if under 18 years of age Date Your signature on the Entry Form will bind you to the Trailblazer Code of Ethics. Thank you for entering! Please make checks payable to Wisconsin Trailblazer Sled Dog Club. Mail completed form and check to: Doris Lovrine, 11032 Four Duck Lake Road, Three Lakes, WI 54562 Wisconsin Trailblazer Sled Dog Club races are competitive events. For the safety of all, reasonable levels of training and proficiency are expected of all participants.
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