1. education
2. high school

May 30, 2015
Glendale High School
Heats starting at 7:30am
Rain, Rain, or Shine
High School Division
Adult Division
individual or teams
individual or teams
You’re in high school, surely you can out-perform all of
these old people at an adventure race, right?! Get your
teammates together and sign up—there is a prize for the
high school team with the most participants. Do you care
what the prize is? Of course not—you just want to WIN the
prize so you can tweet about it! Official bragging hashtag
is #DBAR—own it!
Reg. Date
High School
Adult
by 4.20.15
individual $35
team $45
individual $45
team $55
by 5.20.15
individual $45
team $55
individual $55
team $65
Week and Day of race
individual $55
team $65
individual $65
team $75
RX - This flight is for you if you can curl your body-weight
and do 100 one-armed pull-ups unbroken. You are so
competitive you chalk your hands before driving into work
each morning. Doing prescribed workouts in the gym is
#NBD. We have men’s, women’s, and co-ed flights for you—
the mightiest dirty birds of them all! High school
graduates and up!
Scaled - This flight is for the not-crazy fitness buff. You go
to the gym to get reimbursed on your health insurance.
The elliptical is your friend. You don’t own protein powder
and a plastic shaker. If you work out in order to eat
Andy’s guilt-free, this flight is for you! We have men’s,
women’s, and co-ed flights for you in the scaled division.
High school graduates and up!
May 30, 2015
Glendale High School
Heats starting at 7:30am
Rain, Rain, or Shine
Individual or Partner #1 – Shirt Size Adult S M L XL 2XL
Name: ______________________________
Address:__________________________________ City: ____________________ State: _____
Zip: _________ Phone: _____________
Email: ______________________ Male/Female _____ Grade as of 5.7.15_______
Partner #2– Shirt Size Adult S M L XL 2XL
Name: ______________________________
Address:__________________________________ City: ____________________ State: _____
Zip: _________ Phone: _____________
Email: ______________________ Male/Female _____ Grade as of 5.7.15_______
We are registering in the following category: ! High School Team
! High School Individual
Remit to: Glendale Softball
Glendale High School 2727 S. Ingram Mill Rd. Springfield, MO 65804
Check #_________
Cash________
! Adult Team
! Adult Individual RX
! Adult Individual Scaled
I (print Partner #1) _________________________ and (print Partner #2) ______________________ acknowledge the School District of Springfield, R-12 (District) has made available to me a training session/
event which involves physical activity. Participation in this event is strictly voluntary.
I acknowledge that physical exercise involves a risk of harm or personal injury to me. I am solely responsible for determining whether I am physically able to perform the exercise, including consulting
with my physician if appropriate, before I use any exercise equipment or start any exercise program. I agree that I am solely responsible for any personal injuries I may sustain as a result of my
participation in this activity.
I release and fully discharge The District of Springfield R-XII, including its’ board of directors, officers, employees, and agents, from claims, causes of action or damages resulting from my participation in
this event, including claims for medical expenses or personal injuries that may occur to me as a result of this activity.
I agree that all of the information contained in this Consent and Release Agreement is true and correct.
Partner #1 name: _______________________________
Signature of Partner #1: _____________________________________
Date:_________________
Signature of Partner #2: ____________________________________
Date:__________________
(or parent/guardian if participant is under 18 years of age)
Partner #2 name: _______________________________
(or parent/guardian if participant is under 18 years of age)