BAJA EPIC February 10-12, 2011, Rosarito Beach, Mexico

Fill out this form completely on your computer, Print and SIGN the waiver and release form. Then mail it to us with your Check or Money Order to
Too Much Fun Promotions,
P.O. Box 120089, Chula Vista, CA 91912-3189

First Name:
Last Name:
Address:
Ste. / Apt.:
City:
State:
ZipCode:
Phone:
Email:
Gender Male Female  
Entry Fees

FULL PACKAGE will be as follows: (check our web site to see what's included)
 $700 Amateur, $800 PRO's before Dec. 3rd 2010
 $800 Amateur, $900 PRO's before Jan. 7th 2011
 $900 Amateur, $1,000 PRO's until race day
ECONO PACKAGE will be as follows: (check our web site to see what's included)
 $400 Amateur, $500 PRO's before Dec. 3rd 2010
 $500 Amateur, $600 PRO's before Jan. 7th 2011
 $600 Amateur, $700 PRO's until race day
"Just Race" Pkg will be as follows: (includes NOTHING but medical, aid stations, and race logistics).
 $100 Amateur, $200 PRO's before Dec. 3rd 2010
 $125 Amateur, $225 PRO's Jan. 7th 2011
 $150 Amateur, $250 PRO's until race day
CATEGORIES

 
Male Female
Niņos (under 17 yrs old) Niņas (under 17 yrs old)
OPEN (unlimited) OPEN (unlimited)
30-39 30-39
40-49 40+ Master
50+ Master PRO (Unlimited
PRO (Unlimited

"2011 BAJA EPIC Mountain Bike Stage Race, Rosarito Beach, Mexico, February 10-12, 2011
-WAIVER AND RELEASE OF LIABILITY-
 In consideration of the acceptance of my registration request and/or participation in the above event operated and/or under the management of Too Much Fun Promotions, the sponsors, and/or contract entities, I hereby release all liability from said parties and I assume all liability for any and all claims and actions of any kind for personal injuries and/or property damage which i may cause or sustain during the event or during my travel to and from the event, and I agree to pay any and all costs including attorney's fees that may be incurred by the above entities as a result of any such claim. I attest and verify that I am in good health and that I am adequately trained to participate in this type of event and my physical condition has been verified by a medical doctor. I hereby acknowledge that I have sole responsibility for my personal possessions and athletic equipment during the event or its related activities, I hereby grant to any and all of the foregoing to use any photograph, videotape, motion picture or any other record of this event for any purposes whatsoever including broadcasts, telecasts and the press as they pertain to the event. I hereby consent to receive medical treatment which may be deemed advisable during this event and understand that I am solely responsible for all cost relation to medical transportation and/or evacuation. I hereby agree that if the event is canceled due to storm, rain, inclement seas or weather, wind or other "act of god" conditions, my entry fee shall be nonrefundable. I understand that all entry & t-shirt are nonrefundable-. I also understand that my entry is nontransferable. I also agree that any legal claim, can only take action in the State of Baja California, Mexico.
I FURTHER FULLY UNDERSTAND THAT THERE IS NO RIDER INSURANCE PROVIDED FOR THIS EVENT, RIDERS MUST CARRY THEIR OWN ACCIDENT INSURANCE.

I have read and fully understand and agree to this release, waiver and indemnification form.
Signature:_____________________________________

Date:______________

Name of Rider's Insurance Company:______________________________________
Parent or legal guardian's signature if under 18 years of age authorizes emergency medical treatment.