Ultra Run Travel Registration ‹ EPIC5 Challenge

Name

AthleteCrewStaff

Cell phone

Please enter your birthdate (for interisland travel)

Hawaiian Airlines Frequent Flyer # (optional)

TSA Precheck # (optional)

Address (for event bag to be mailed, or indicate pickup at event if preferred)

Shirt Size (gender specific)

Athletes: What is a typical pace or time for you during a 50K with about 3000' elevation gain?

Athletes: Do you plan to carry your cell phone on you while running?

YesNo

Will you be using the Event Shuttle, or will you be renting a car?

Event Shuttle 100%I have crew & we will rent our own car on each islandRenting a car on Kauai but using Event Shuttle the rest of the timeRenting a car on the Big Island, but using Event Shuttle rest of timeOther - please enter details in notes section

What is your arrival date in Kauai? airport code is LIH

Please share your flight arrival details (if known)

What is your departure date from the Kona? Airport code is KOA

Enter your flight departure details, if known

KAUAI LODGING, where are you staying? Please provide the address if you are using Event Shuttle.

OAHU LODGING, where are you staying? Please provide the address if you are using Event Shuttle.

MOLOKAI LODGING, where are you staying? Please provide the address if not at Hotel Molokai.

MAUI LODGING, where are you staying? Please provide the address if you are using Event Shuttle.

BIG ISLAND (KONA) LODGING, where are you staying? Please provide the address if you are using Event Shuttle.

I haven't booked my lodging yet but will send details as soon as it's doneStaff LodgingOther Lodging (or staying with friends) - please provided details in notes section

Please list any allergies, dietary restrictions, other notes

Electronic Signature (type in name)

Emergency Contact

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