Print and return by mail or fax with your registration and processing fee.
Event limited to 600 skiers.    No entries will be accepted after 2/25/07.

 
 
Cancellation Policy: Cancellations before 2/15/07 will be charged a $30 cancellation fee. No refunds will be made after 2/15/07. The event committee may modify or shorten the event due to weather conditions. Entry fees are not refundable due to event cancellation, nor are they transferable to another person or event.
 
   
   
     
     PARTICIPANT REGISTRATION:  
  Name: ________________________________________________ Club/Team: _________________
  Address: ___________________________________________________________________________
  City: _______________________________________ State: ___________ Zip: __________________
  Phone: ___________________________ E-mail: __________________________________________
  Birthdate: _______________________   Male:     Female:  
  Age Group Classification: (M stands for Master)  
 
JR. 19 and under M2 35 to 39 M5 50 to 54
SR. 20 - 29 M3 40 to 44 M6 55 to 59
M1 30 - 34 M4 45 to 49 ETC. (5 year categories)
 
   
  Age as of 1/1/07: ________     Age Group Classification (from above): ________  
  Event Distance: 50 km _____ 25 km _____             Class: Timed:    Non-timed:  
  Are You a NENSA member? Yes:    No: If so, membership #: __________________________________
  Are you entering the Rangeley Lakes Loppet 50 km on 3/3/07 for the Double Marathon Challenge?
Yes
 No
     
     SHUTTLE TRANSPORTATION: (free to participants)  
  Event starts at Great Glen Trails Outdoor Center and finishes at Bretton Woods Nordic Center. Shuttle bus service available to the start at Great Glen from various points.  
   
  I anticipate taking the shuttle to the start at Great Glen:  Yes  No  
  From pickup point (if known):  Bretton Woods  Twin Mountain  Gorham  
  For 25 km participants:  I plan to use shuttle from 25 K finish to: Bretton Woods or Great Glen
  I'd like to take shuttle back to Great Glen after the awards: Yes  No  
     
    ENTRY FEES: Please make checks payable to "GG to BW Nordic Adventure"  
  Paper Entries: Please add $5 processing charge to entry fee.  
  Timed Classes, 25/50 km:  
  Postmarked: by 12/31/06___$65   by 1/31/07 ___$75   by 2/18/07 ___$85   after 2/18/07 ___$95
  Non-Timed Classes, 25/50 km:  
  Postmarked: by 1/31/07___$50    by 2/18/07 ___$60  after 2/18/07 ___$70  
     
    PAYMENT: Cash   Check   AMEX   Visa   MasterCard   Discover Card
  Card No. __________________________________________________ Exp. Date _______________
  Signature: _________________________________________________________ Date: __________
     
    WAIVER:  

In consideration for the rights and privileges associated with participation in the TD Banknorth Great Glen to Bretton Woods Nordic Adventure, a New England Nordic Ski Association event, I acknowledge and agree to be bound by the following: 1. Identification of Risks. I understand that participation in any skiing activity, including but not limited to, preparation for, participation in, and coaching of activities in cross-country ski competitions and events, involve risk of serious injury, including permanent disability, death and other losses, due to inactions or negligence of myself or others. 2. Assumption of the Risk. I agree that I am responsible for my safety while participating in activities associated with NENSA, and that such responsibility includes participation only a) when I am both physically and psychologically prepared to participate safely, b) after fully familiarizing myself with the venue before beginning the activity, and c) while using the equipment of a type and condition reasonably necessary to safely participate. I assume all risk connected with responsibility for any injury or loss connected with my participation. 3. Waiver. Aware of the risks and willing to assume them, I hereby release and agree to hold harmless the New England Nordic Ski Association (NENSA), its officers, directors, employees, agents, coaches, trainers, doctors, officials, volunteers, affiliates, event organizers, [specifically Great Glen Trails/Bretton Woods Ski Area], sponsors, owners of property and trails used by me (Released Parties) from loss, injury, or death to myself or to any other person, or other damage to person or property resulting from my participation in events and competition and any related activities including, without limitation activities in connection with sponsorship, organization or execution of any event and travel to and from such event, whether I may participate as an athlete, coach, volunteer, spectator, or in any other manner associated with NENSA. This release is intended as a waiver of any claim I may have whether based upon negligence, breach of warranty, contract or other legal theory, against any of the above Released Parties, accepting myself the full responsibility for any such loss, injury, death or damage which may result. I intend for this release to also apply to my relatives, personal representatives, heirs, beneficiaries, next of kin, and assigns. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. This waiver does not release acts of gross negligence or willful and wanton misconduct of any party. 4. Insurance. I currently have, and agree to maintain throughout the time that I train and participate, valid and sufficient medical and accident insurance. I understand that this is my sole responsibility and release all persons and entities from providing this coverage for me.

PHOTOGRAPHY RELEASE:  I hereby grant absolute right and permission to Great Glen Trails and Bretton Woods Ski Area to use photographic portraits of me for illustration, promotion or advertising purposes.

     
  Signature: _________________________________________________________ Date: __________
 
Parent/Guardian (for athletes under 18 years of age):
 
  Printed Name : _____________________________________________________________________
  Send to: TD Banknorth GG to BW Nordic Adventure
PO Box 278, Gorham, NH 03581
Phone: 603.466.2333    Fax: 603.466.3328    E-mail: sue@greatglentrails.com
 
   
   
   
OFFICE USE ONLY: Date entry received: __________ Release signed:_____ Amt. Paid: __________ Initials: _____
GG2BW Described l Lodging l Directions l Sponsors l FAQs l Registration l Contact Us l Results & Photos l Home
Great Glen Trails Outdoor Center
PO Box 278,
Gorham, NH 03581
Phone: 603.466.2333
Fax:
603.466.3328
  Bretton Woods Nordic Ski Area
Route 302,
Bretton Woods, NH 03575
Phone: 603.278.3322