ENTRY FORM FOR FOREIGN SNOWSHOERS
WHO ARE PARTICIPATING IN THIS RACE FROM OVERSEAS


THE 3RD ALL JAPAN MOUNTAIN SNOWSHOEING RACE IN NIKKO
The 11th All Japan Snowshoeing Grand Prix Series [2018]

March 10 to 11, 2018

Write all in English.    Items except * mark must be filled.    All in capital letter except e-mail address.
 
Meeting Title   Unnecessary to fill.
  Your Name   First name then last name in capital letter like "BILL JOHNSON"
  Birthday Like 03/31/1970
Genda:
Male Female
  Blood Type* AB  Unknown
RH Factor*
RH+ RH- Unknown
  Address(1)   Street Number, Street Name, Bldg#.....
  Address(2)   City Name, State Name.....
  Postal Code
  Country
  Team Name *  Name of team to which you belong if any.
  Race History *   Major race events with rank
  Phone Number Like Country code-333-333-3333
  e-Mail Address
 
I hereby agree to the following "Agreement, Waiver, Release and Acknowledgements": Yes  No
Agreement, Waiver, Release and Acknowledgements:
I know that running a snowshoe event is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I assume all risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of the weather, altitude, conditions of the course, all such risks being known and appreciated by me. I for myself and anyone entitled to act on my behalf, waive and release the World Snowshoe Federation, Village of Saranac Lake, NY., Town of Harrietstown, NY, and all sponsors and event staff from all claims or liabilities arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.
 
Comment, question, or request if you have any
 
Event and Options
 
Event(s) to participate in :
  15K Men   Yes  No No charge.
  15K Women Yes  No No charge.
  Supporter Yes  No Check here If you are a coacher or family not to run. No charge
 
Click "Submit" button after having filled the above items. Click only once.
 
 
 
Push the above "Confirm" button which will open a confirmation page. Then push the big submit button "送信" at bottom of the confirmation page.
Confirmation mail will be sent to the above your e-Maill address within 3 days. If you do not receive the mail, contact us at contact@chikyunetwork.org.
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