Ring of Beara Cycle Kenmare Saturday 23rd May 2015 Postal Application Form First Name Surname Club Name Email Address Date of Birth Address Town County Gender: Country Male Mobile Female Please select race distance: 100km 140km Date 100km & 140km Routes Buddy Entry (2 x Entries) Dec 1st - 31st €40 €75 Jan 1st - March 1st €45 €85 March 2nd - May 1st €50 €90 May 2nd - May 20th €55 €100 May 22nd & 23rd - Cash Only €60 --- Entries will not be processed unless the following disclaimer is signed by the participant It is recommended that any potential participant not currently involved in physical sporting activity, should undertake a medical examination before taking part in the race. I understand that participating in this event is physically demanding, and that I should not enter and participate unless I am medically able and properly trained. I understand that participating in this event is potentially hazardous, and that I should not enter and participate unless I am medically able and properly trained. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while I am traveling to or from the event, during the event, or while I am on the premises of the event. I also am aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic, and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers, sponsors, promoters and each of their agents, representatives, successors and assigns, and all other persons associated with the event, for all my liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my participation in this event. I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise. I understand that the entry fee is nonrefundable and non-transferable. By submitting this application I agree to be bound by all the rules of the event. I understand that I enter the Ring of Beara Cycle Kenmare at my own risk and that neither Kerry County Council, Cork County Council, Elite Event Management, Department of the Environment and local government or any of its employees, servants or agents, any sponsors, associate sponsors, or patrons, will be held responsible for any accident suffered or injury sustained by myself from any cause whatsoever, or for any property lost, damaged, mislaid or stolen, on the course, from my person or at the changing areas or at any place. I agree to abide by all lawful instructions issued to me by An Garda Siochana or the stewards on the Course on the day. I have read, understand and agree to all of the above. Signature: .................................................. Date: ....................................................... www.ringofbearacyclekenmare.com Payment Procedure Please return all completed registration forms and appropriate cheque or postal order to: Elite Event Management, Dunloe Cottage, Dunloe, Upper Beaufort, Killarney, Co. Kerry All cheques made payable to Elite Event Management When we receive your payment in full we send you a receipt of payment. Please visit our website for all pre-registration details. Contact For full race details or any queries please contact info@eliteevents.ie or call Oliver Kirwan 087-6024621 or visit our website www.ringofbearacyclekenmare.com
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