ENtry ForM

Transcription

ENtry ForM
TENTH ANNUAL
Packet pick up available:
• High Desert Bicycles
Friday, September 23rd 12:00 pm-8:00 pm
• Sky City Casino Hotel
Saturday, September 24th 4:00 pm-7:00 pm
Race Day at Start/Finish
Sunday, September 24th 5:30 am-6:30 am
Need Lodging?
SEPTEMBER 25TH, 2011
Sky City Casino Hotel offers all participants a special room rate
RV Park Race Rate is $20 + tax for participants only. For room
Mail Entry to:
Sky City Cultural Center Tour de Acoma
P.O. Box 310
Acoma, NM 87034
888 SKY CITY
www.skycity.com
I-40 Exit 102
Acoma, NM
reservations call Sky City Casino Hotel at 888 SKY CITY.
Sky City Casino Hotel Four Color Process
of only $59.00 + tax (double-occupancy) September 24th-25th.
Deadline for Registration:
September 18th, 2011
Sky City Casino Hotel Four Color Process
Tour de Acoma
TENTH ANNUAL
is a 100, 50 and 25-mile bike challenge covering distinct areas on the
Entry Form
Acoma and Laguna Pueblo reservations. An all-paved course that
offers both the experienced and recreational cyclist a challenging
and rare opportunity to ride through normally restricted tribal lands.
The Tour de Acoma is an OPEN race for men and women of all ages.
This competitive course features opportunities for high speed racing
Authentic Acoma water jars are awarded to first, second and third place
as well as defying uphill endurance tests.
winners in open Men’s and Women’s categories.
The bike tour starts at 7am on September 25 2011. All races start at
Sky City Casino Hotel (I-40, exit 102). First, Second and Third Place
finishers, in both Men’s and Women’s categories, receive
highly-coveted authentic Acoma water jars.
Entry Fees
• $40 for 25-mile ride 8:15 am
• $50 for 50-mile ride 8:00 am
• $60 for 100-mile 7:00 am
• Tandem 25 mile $55 Tandem 50 mile $70 Tandem 100 mile $85
Registration forms are available online at tourdeacoma.com . All
participants receive a tour packet that includes: a tour t-shirt,
$5.00 food voucher , race number, and a 25% discount to visit
Sunday September 25th, 2011
SEPTEMBER 25TH, 2011
Please complete form and return with check or money order only,
payable to Acoma Business Enterprises.
Name
Sex
Phone (
)
Age
Address
City
State
Zip
E-mail
Distance (check one):
25-mile Challenge
50-mile Challenge
Tandem (check one)
25-mile Challenge
50-mile Challenge
100-mile Challenge
100-mile Challenge
Acoma Pueblo, the oldest continuously-inhabited city in North
America. Pre-Race Packet Pick Up, available at High Desert Bicycles,
Thursday September 23, 2011 from 4pm – 8pm.
Free, pre-race Bicycle clinic
High Desert Bicycles offers a Pre-Race Bicycle Clinic on
Thursday, August 18th @ 6pm. This clinic informs participants of the
basic things they should carry when riding and how to conduct basic
roadside repairs. Participants must preregister, call High Desert at
505.842.8260 and 505.896.4700 for details. High Desert Bicycles also
offers complimentary safety checks to registered participants from
September 1, 2011 - September 16, 2011.
Sky City Casino Hotel • I-40, Exit 102 • 45 minutes West of Albuquerque
For more information, please call Mikalyn Vallo @ 505-552-1040 or visit our website @ www.skycity.com
Reserve your spot early. Pre-registration and entry fee must be post marked by September 15th, 2011.
$20 of every entry is donated to the Haak´u Museum
WAIVER & RELEASE (please read and sign below)
ASSUMPTION OF ALL RISKS BY THE ENTRANT: With the full knowledge and appreciation that bicycle riding is a hazardous
activity and in consideration of your accepting this entry, I, intend to be legally bound for myself, my heirs, executors, and
administrators, waive and release any and all rights of claim for damages as I may have against the Tour de Acoma organizers,
their agents, and towns, counties and state in which the event is run, their representatives, successors, and assigns, and for any
and all injuries and/or property damage suffered by me in said event, and for the same consideration, the undersigned parent or
guardian hereby indemnifies and agrees to hold the Tour de Acoma organizers, and their agents, harmless from any and all liabilities
which may occur by the entry of the applicant in the Tour de Acoma. I attest that I am physically fit to compete in this event.
Signature
Date
Participants under 18 years of age must have parent or guardian signature.