| DATE: | Sunday - June 25, 2000. |
| REGISTRATION: | Opens 7:00 a.m. |
| Start Time/Dist: | 8:00 a.m. 16 miles (10 laps) |
| Start Time/Dist: | 9:45 a.m. 4.8 miles (3 laps) |
| LOCATION: | Halliday Park, Phelan (See map) |
| COURSE: | 1.6 mile asphalt closed loop course on 55 fenced acres. |
| HELMETS: | Mandatory. (elbow, kneepads and wrist guards recommended). |
| AWARDS: | Medals three deep-both races in each age group and a set of Cyko Racing Wheels to first place in each age group in the 16 mile race only plus other prizes. |
| RACING FEES: | $20.00 for both races. Send registration form & check payable to KWJ, PO Box 292389, Phelan, CA 92329 |
| Questions? | Gordon Hall: (760-868-2111) day/eve. Email: peninsula@freerealtime.com |
CYKO INLINE WHEELS CHAMPIONSHIP REGISTRATION FORM
MEN: 35+___40+___45+___50+___55+___60+___ Date of Birth____/____/___
Signature____________________________________________Date_____________________
Sunday, June 25, 2000
Check Events Entered: Amount Enclosed $20.00
16 miles (10 laps)_____ Entry fee non refundable
4.8 miles (3 laps)_____
WOMEN: 30+___40+___50+___.
Print Name___________________________________Sex___Age____Email:___________________________
Address___________________________________________________Phone ( )_____________________
City______________________________________________________State___________Zip_______________
I am aware that participating in this "Cyko Inline Wheels Championship" event can be a hazardous activity and I hereby accept all risks of injury or death. In consideration of my being allowed to participate in the "Cyko Inline Wheels Championship" event, on behalf of myself and my heirs, executors, successors, dependents and assigns, I hereby assume all risks of such participation and do agree to release and hold harmless Get-In-Line Events, USCF, USAIR, Jolyn Inc., Halliday Park Inc. property owners, municipalities, Government agencies, Officials, promoters, sponsors and volunteers from and against any injury or damage I may sustain, however caused as a result of my participation in this "Cyko Inline Wheels Event. I have read and fully understand the entire contents of this release.