Bed Race Entry Form 2015 - Cayman Islands Rotary Bed Race

The Rotary Clubs of the Cayman Islands
Bed Race to Eradicate Polio
Saturday, March 21st 2015
Harbour Drive, George Town
Bed Race entry fee: $200 (non-refundable)
Entry deadline: March 16th, 2015
THE RULES:
1. Bed Design
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Beds should measure at least 3 feet by 6 feet but no more than 4 feet by 8 feet, handles included.
Beds must include a mattress.
Beds should be designed with four functional wheels making contact with the road surface and be durable
enough to go over speed bumps.
All bed and team costs are borne by entrants.
The bed construction must include a device for the rider to grip and hold for stabilizing purposes.
No steering mechanisms are allowed. No sharp or dangerous objects may protrude from the bed. Any bed
that collapses or loses a wheel, will be disqualified.
All decoration and bedding must be in good taste.
Beds must be human propelled and not motorized.
2. The Racing Teams
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Racing Teams shall consist of one rider, four runners/pushers and one alternate.
All team members must be at least 18 years old.
Team Captains must be at the assembly point on the waterfront by 1pm
Team Captains will ensure beds in place by 1:00pm. Beds will be inspected to verify that the rules have
been followed
Judging for “best dressed” will take place at 2 pm.
Rotary Club of Grand Cayman Central has the discretionary right to refuse to allow any team to participate
who has failed to follow any of the rules, and (in the case of good taste) shall have sole and absolute
discretion to determine if a team should not participate.
A team disqualified for non-compliance and/or bad taste on the actual day will forfeit their entry fee.
First heats of the race will begin at 2:30pm. Heats will be timed and have 2 teams running together.
3. Safety
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All Bed Racers MUST sign the Waiver of Liability and acknowledgement of the Bed Race Rules and
regulations before participating in the race.
Racers are responsible for their own insurance.
All runners/pushers should wear athletic shoes suitable for street running.
Bed riders must wear “pajamas”.
4. During the Race
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Bed riders must sit, kneel or lay flat on the bed.
The rider must be clothed in “pajamas”.
All runners/pushers must be in control of the bed until it comes to a complete stop.
Teams should not interfere or impede the progress of an opposing team.
5. Awards
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Awards will be given to the teams with the fastest time (1st, 2nd and 3rd place winners)
Additional awards will also be given for the following:
o Golden Spring Award-Best Dressed Bed Design
o Most Outrageous Bed
o Broken Spring Award
All net proceeds benefit Rotary International's Polio Eradication programme "PolioPlus"
The Rotary Clubs of the Cayman Islands
Bed Race to Eradicate Polio
TEAM REGISTRATION FORM
Team Name: .................................................................................................................................
Team Leader / Contact Person: ......................................................................................................................................
Contact Number: ........................................................................... Email Address:........................................................
RACE TEAM REGISTRATION FEE: $200
Please circle form of payment:
CASH
(Make all cheques payable to: Rotary Central)
CHEQUE
All Bed Racers MUST sign the Waiver of Liability and acknowledgment of the Bed Race Rules and Regulations before participating in
the race. In no case will Bed Racers be allowed to compete without signing these forms.
Team members must be at least 18 years of age or older.
RACE TEAM WAIVER OF LIABILITY & INDEMNITY AND RELEASE FOR RADIO, TELEVISION AND PRINT MEDIA
Rotary Bed Race Waiver of Liability
I know that running with a Bed Race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that although
safety items have been discussed, there may be some hazards on the racecourse. I assume the risk of running on the race/obstacle course. I also assume any and all other
risks associated with running in this event and participating in all other activities scheduled including but not limited to falls, contact with other participants, spectators or
equipment, the affects of the weather, including high heat and/or humidity, and the condition of the roads, all such risks being known and appreciated by me.
In consideration of the following and of your permitting me to participate in the Rotary Bed Race for Polio on March 21st 2015, I hereby for myself, my heirs, executors,
administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge The Rotary Clubs of the Cayman Islands, including their
employees, directors, shareholders, agents, members, volunteers and representatives, and the race officials and any sponsoring body, their successors and assigns, and its
officials from any and all claims or cause of action I may have for all personal injuries or property damages caused by or arising out of the Rotary Bed Race for Polio and its
related activities. I also agree to abide within the rules and regulations issued by race officials.
Indemnity and Release for Radio, Television and Print Media
For sufficient consideration and the right to appear, I agree to protect and indemnify the Rotary Bed Race for Polio, its officers, members and volunteers, and advertising
agency, and their respective officers and employees, including their employees, directors, shareholders, agents, members, volunteers and representatives, and to hold it and
them harmless from and against all liability, loss, damages, expenses, judgments, counsel fees, costs and other charges, against it or them or for which it or they shall become
liable by virtue of or arising out of or caused by any matter or materials supplied or spoken by me in the telecast of the Rotary Bed Race for Polio or any action or omission by
me in connection with the Rotary Bed Race for Polio resulting in any damage or injury to another participant or other third party or any property belonging thereto. I hereby give
my permission for the Rotary Bed Race for Polio to use my picture and/or name in any publicity deemed necessary for the promotion of this event at no compensation.
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Rider Name
D-O-B
Signature
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Runner (1) Name
D-O-B
Signature
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Runner (2) Name
D-O-B
Signature
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Runner (3) Name
D-O-B
Signature
_________________________
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Runner (4) Name
D-O-B
Signature
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Alternate Name
D-O-B
Signature
The deadline for submitting this form is 16 March, 2015
Return this race team registration form to:
Rotarian Fiona Moseley
Phone: (345) 749-6544
[email protected]
www.BedRace.ky
The Rotary Clubs of the Cayman Islands
Bed Race to Eradicate Polio
HOW CAN YOU JOIN THE BED RACE???
1. SIGNUP!
The Bed Race Entry Form, Waivers of Liability and acknowledgment of Bed Race Rules and Regulations
must be completed and returned to your Rotary contact by 16 March 2015.
2. PAYUP!
a.
An entry fee of $200 (non-refundable) to Rotary Central is required for each team.
b.
Race entry fee includes entry into the pre-race parade and races
c.
Accepted forms of payment: CASH & CHEQUE
(If paying by cheque, please make all donations payable to Rotary Central)
3. SHOWUP!
RACE DAY Saturday, 21st March 2015
1:00 p.m.
Team Check in and inspection begins
All Race beds & teams will check in and position their bed in the area designated
for inspection.
2:00 p.m.
Judging of Beds
3:00 p.m.
Race Begins
Beds will race by heats and timed to qualify for final race. (Depending on number
of entries)
Awards will also be given for “style.”
Immediately Following: After-Party and Awards Ceremony, location TBA
To enter a bed, please contact event coordinator:
Rotarian Fiona Moseley
Phone: (345) 749-6544
E-mail: [email protected]
Website: www.BedRace.ky
The Rotary Clubs of the Cayman Islands
Bed Race to Eradicate Polio
BECOME ROTARY BED RACE SPONSOR!!!
‘Race to Eradication’ sponsorship packages:
Four Poster Sponsor - $1,000
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One bed entry fee included ($200 value)
Sponsors will have ability to provide signage along the raceway
Sponsor will have full exposure in any print media and TV slots available (promos will begin early
February so information needed ASAP)
Trophy Sponsor - $250
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Name engraved on Event trophy. (You select the category you want to sponsor, based on availability.)
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Fastest time winners (1st, 2nd and 3rd place)
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Golden Spring Award - Best Dressed Bed Design
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Most Outrageous Bed - It might not be pretty, but definitely memorable!
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Broken Spring Award - This is the “What were they thinking?” award.
Table Sponsor - $250
6ft Table and 2 chairs provided for sponsor to sell or promote merchandise
Banner Sponsor- $150
• 8x4 Banner to be hung on race course (supplied by sponsor)
Select level(s) of sponsorship from above:
4 poster Sponsor
$1,000
Trophy Sponsor
$250
Table Sponsor
$250
Banner Sponsor
$150
Any donations accepted:
$______________
Sponsorship cheques should be made payable to: Rotary Central
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Sponsor Name
Contact Person
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Street Address
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Contact Number or Fax
Contact Email Address
The deadline for submitting this form is 16th March, 2015
Return this sponsorship form to:
Rotarian Fiona Moseley
Phone: (345) 749-6544
[email protected]
www.BedRace.ky