Registration

Entry Fee : $25/Participant ($125 for Team of Five)

Location: Eagle Valley Resort, Eagle valley, NV

Teams: Consist of up to 5 people

Course: A 30-mile team relay from Eagle Valley to Panaca Fair Grounds. The route will take participants through the dramatic landscapes of Lincoln County going through two state parks on major roads and rustic back roads. Course route is posted at https://lincolncountyfairadventurerelay.wordpress.com/course/

Refund Policy: There are NO REFUNDS

Captain Meeting: Friday, August 11th, 7:00pm, at Panaca Town Hall. Attendance is optional, but will provide good information.

Registration by mail:
Lincoln County Fair Adventure Relay
Kathi Hunt
P.O. Box 434
Panaca, NV 89042

Or online:  http://www.lcnvfair.org/adventure-relay/

Shirts not available for same day registration!
More Info: (775)962-1724 or https://lincolncountyfairadventurerelay.wordpress.com/

Team Captain Name: ____________________________________

Address:__________________________________________

City: ___________________________ State: ________________

Zip Code:______________ Phone: _____ – _____ – _______

Sex: ________ E-mail: ________________________________

 Team Name:___________________________________________

Division (circle one): Men     Women      Co-ed      Bike (at least one rider)

I, the undersigned, acting for myself or as a parent or guardian, do hereby agree (allow) participate(ion) in the aforementioned activity(ies) and further agree to indemnify and hold harmless the Lincoln County Fair and the Town of Eagle Valley, Town of Pioche, Town of Panaca, Echo State Park and Cathedral Gorge State Park, it’s agents and employees from all harm, accidents, personal injury or property damage suffered by the aforementioned individual(s) arising out of, or in any way connected with, participation in this activity. I also, give my permission to Lincoln County Fair and its assignees to reproduce or use my image without cost or reimbursement on video, photographic or any other media for promotion of the Organization’s programs and facilities.

ALL PARTICIPANTS MUST SIGN BELOW

Captain – Print Name: ____________________        ______________ Signature: ________________________________ Date:___________ Shirt Size:_________

Participant – Print Name: ___________________________________ Signature: ________________________________ Date:___________ Shirt Size:_________

Participant – Print Name: ___________________________________ Signature: ________________________________ Date:___________ Shirt Size:_________

Participant – Print Name: ___________________________________ Signature: ________________________________ Date:___________ Shirt Size:_________

Participant – Print Name: ___________________________________ Signature: ________________________________ Date:___________ Shirt Size:_________

 (Parent or guardian must sign if under 18 years of age)

Return this bottom portion with your payment. 

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