Athlete Agreement – EPICDECA ‹ EPIC5 Challenge

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Events
Programs
- Zero2Five™ Training Program
- Crew Chief Certification Course Completion (C5)
Media
Volunteer
About

Athlete Agreement – EPICDECA

Full Legal Name (for travel)

Preferred Name (if different)

Occupation (optional)

Date of Birth (mm/dd/yy)

Mailing Address

Cell Phone #

Fluent in English

yesno

Other languages spoken

Any dietary restrictions or aversions?

What are your favorite post race foods? (optional)

Please tell us about your typical times for each SBR leg

Any medical conditions or allergies we should be aware of?

How many crew will you have? Not applicable for EPIC565 athletes.

CREW OPTION 1: Six (6) crew, split into two teams of 3, alternating support each day & flying ahead early to next island to rest & prep. Will need 2nd rental car + more lodgingCREW OPTION 2: Four (4) crew, stay as a team, rotating mandatory rest days 3 days on, 1 day offOTHER - please elaborate in comments

Crew Names if known.

Emergency Contact (name, relationship, phone, email, location)

What can we do to make this the best experience for you?

Twitter account. for tagging during event (optional)

Instagram account, for tagging during event (optional)

Do you prefer shorts or bib?

Standard Cycle ShortsBib Shorts

Jersey Size (gender specific)

SmallMediumLargeXL

Shorts/Bib Size (gender specific)

SmallMediumLargeXL

Shirt size

SmallMediumLargeXL

CHECK THIS BOX to indicate that you have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT which can be found below this form. Please print a copy for your records.

YES, I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT. My electronic signature is below.

Electronic signature (type name)

click here to read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

All information will be kept in our secure files for the use of travel & event planning.