2013 Outdoor Fitness Festival ROGAINE Race Registration Form October 19, 2013 **Rogaine teams need to fill out one form per individual. No individual teams will be allowed. Team Na Total Number of Team Members: Two Three Four Five 3 Hour Rogaine 6 Hour Rogaine LAST NAME
AGE (ON 10/19/2013) First Race with us?
E-MAIL ADDRESS:______________________________________________________________________________________
EMERGENCY CONTACT NAME: _____________________________________EMERGENCY CONTACT NUMBER: ________________
EVENT ADVERTISING ACTIVE WEBSITE MAGAZINE EVENT CALENDAR FRIEND OTHER: __________________
IF RUNNING WITH A CHARITY, PLEASE SELECT THE CHARITY:
GIRLS ON THE RUN CONVOY OF HOPE ISABEL’ S HOUSE
COMMUNITY PARTNERSHIP OF THE OZARKS NATIONAL ALLIANCE FOR THE MENTALL ILL
OUTDOOR FITNESS FESTIVAL ENTRY FEES TECH SHIRT SIZE (CIRCLE ONE) Mail-in Entry Fees ONLY. On-Line Pricing does not apply! ROGAINE Tech Shirt *Checks Payable to the Bass Pro Outdoor Fitness Festival or BPOFF *Amount is per individual team member. Total Amount Enclosed Every attempt will be made to accommodate your request, but sizes cannot be guaranteed. NO EXCHANGES. Late registrants are not Release and Waiver of Liability Agreement: guaranteed a shirt.
In consideration of your acceptance of this entry, I, intending to be legal y bound hereby, for myself, my heirs and assignees waive any/all claims for any damages which I may have against Bass Pro Outdoor World, Ultramax Timing
To pay with credit card, please complete this section:
Systems, Springfield-Greene County Parks and Recreation, Ozark Greenways and Wonders of Wildlife, any and al race sponsors and organizers, and/or their employees, for any injuries and il ness suffered by me in this event, including those
Credit Card Type: VISA MasterCard Discover Amex
which may be attributable to weather conditions. I attest and verify that I am physical y fit and have sufficiently trained for
the competition of this event. I have read the entry information provided and certify my compliance by my signature
below. (Parent or Legal Guardian must sign if entrant is under 18 years of age.) **Bass Pro Shops will be photographing and videotaping portions of the events for documentation and promotional purposes. By signing the registration form you
give your consent to be filmed and photographed as a part of this event.
___________________________________________ ______________
___________________________________________ ______________ Signature of Participant or Parent/Guardian (if under 18) WAIVER MUST BE SIGNED TO BE PROCESSED
Mail completed entry form with entry fee to:
_________________________________________________
Bass Pro Shops, Attn: Melissa Bondy, 1935 S. Campbell, Springfield, MO 65807 REGISTRATION FEE IS NOT REFUNDABLE OR TRANSFERABLE For more information call 1-417-891-5214 or visit our website fitness.basspro.com
A SURVEY OF THE VASCULAR PLANTS AND BIRDS OF LITTLE BIGHORN Department of Ecology and Evolutionary Biology The following report on vegetation and birds at the Little Bighorn National Battlefield includes three parts. The first is an annotated flora, based on a compilation of existing reports and on original field surveys. The second is an annotated checklist of birds seen at the Battlefield, ba
Iranian Journal of Chemical Engineering Vol. 7, No. 4 (Autumn), 2010, IAChE Research note Measurement and Correlation of Ibuprofen in Supercritical Carbon Dioxide Using Stryjek and Vera EOS M. Mirzajanzadeh1, F. Zabihi2 ∗ , M. Ardjmand1 1- Islamic Azad University, Tehran South Branch, Faculty of Graduate Studies, Department of Chemical 2- Islamic Azad University, Ayatollah
2013 Outdoor Fitness Festival ROGAINE Race