Crew Agreement ‹ EPIC5 Challenge – Ultra Endurance Adventures

Which athlete are you supporting?

Full Legal Name (for travel)

Preferred Name (if different)

Date of birth (mm/dd/yy, for travel)

Role(s)

Crew ChiefDriver (primary)Logistics ManagerBackup Support (driver/logistics)

Please check here if you will be doing water support for your athlete (kayak/SUP). Crew may opt to rotate. If nobody on crew able to do water support, we will help find a volunteer.

Occupation (optional, please let us know if you are medical personnel)

Cell Phone

Cell Phone Type

OK to list your cell phone number in event directory?

Yes - feel free to share my number with the groupNo - international with limited planNo - prefer to keep private

Please provide your Hawaiian Airlines Frequent Flyer # (if you have one). This will save some luggage costs on any interisland commercial flights. You can register for free at https://www.hawaiianairlines.com

Please list your TSA PreCheck # (if you have one)

Fluent in English?

yesno

Other languages spoken

Gender

malefemale

shirt size (gender specific)

smallmediumlargeXL

Visor or hat?

visorhatneither - I have already (or don't wear)

Tshirt or tank?

3 tshirts3 tanks2 tshirts / 1 tank2 tanks / 1 tshirt

Any dietary restrictions, aversions, or allergies? Any medical conditions we should be aware of?

Emergency contact

Photo headshot (please upload for our event directory)

Browse

NOTE : You can attach the following file formats: gif, png, jpg, jpeg, tiff, bmp, ai, pdf, doc, docx, xls, zip, rar, mp3, wav, ppt

Notes/other

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)