New England Nordic Ski Association Race Entry Form

Event: _______________________________ Date: ___________________

Name: ___________________________________ NENSA # _______________

Address: _________________________________ Phone#__________________

Town ____________________________________State_____ Zip:__________

Club _________________________________

Date of Birth ____________ Class ____ Sex: M F

Race Distance_____________ Tech: CL FR Bib #___________

Entries Received Without Payment Will Not Be Processed
(unless specifically noted otherwise by race organizers)
NENSA membership is required for participation in all Eastern Cup events, and for scoring on
the Zak Cup Points List. One-day and full memberships will be available at all Eastern Cup
events. One-day members will not be scored on any points list.
Waiver:
In consideration for the rights and privileges associated with participation in a New England
Nordic Ski Association event, I acknowledge and agree to be bound by the following:

1. Identification of Risks. I understand that participation in any skiing activity, including but
not limited to, preparation for, participation in, and coaching of activities in cross country ski
competitions and clinics, involve risk of serious injury, including permanent disability, death and
other losses, due to inactions or negligence of myself or others.
2. Assumption of the Risk. I agree that I am responsible for my safety while participating in
activities associated with NENSA, and that such responsibility includes participation only; a)
when I am both physically and psychologically prepared to participate safely, b) after fully
familiarizing myself with the venue before beginning the activity, and c) while using the
equipment of a type and condition reasonably necessary to safely participate. I assume all risk
connected with responsibility for any injury or loss connected with my participation.
3. Waiver. Aware of the risks and willing to assume them, I hereby waive, release and agree to
hold harmless the New England Nordic Ski Association, its affiliates, subsidiaries, officers,
directors, employees, agents, coaches, trainers, doctors, officials, event organizers or sponsors
(Released Parties) from any and all claims by me for any liability, injury, loss or damage in any
way connected with my participation in activities associated with NENSA, except where caused
by the gross negligence or willful or wanton misconduct of any of the Released Parties. I intend
for this waiver and release to also apply to any relatives, personal representatives, heirs,
beneficiaries, next of kin or assigns who may pursue any legal action or claim on my behalf.
4. Insurance. I currently have, and agree to maintain throughout the time that I train and
compete, valid and sufficient medical and accident insurance. I understand that this is my sole
responsibility and release all persons and entities from providing this coverage for me.


Signature__________________________________Date ___________________
Parent or guardian signature and printed name if member/s is/are under 18 years of age