March 7, 2021 @ Swain (GS/SL)

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Fill out this form to attend the March 7th GS&SL race at Swain.

Registration and payment is due by Midnight of March 4th. All payment is prepaid online this year due to covid.

After you submit the form, you will receive an email from Google Forms with a link to edit your responses later if necessary.

Email *

First Name *

Last Name *

Year of Birth (####) *

Masters Age Classes (birth year in parentheses)

What class are you? (F is Female; M is Male; Class Numbers are based on age as listed above. U16s and U19s please select that option with your gender.) *

Your Phone Number - Required for NY State Contact Tracing *

Address (Street name & Number)- Required for NY State Contact Tracing *

Address (City, State and Zip Code)- Required for NY State Contact Tracing *

Emergency Contact Name *

Emergency Contact Phone Number *

USSA # (NOT REQUIRED TO RACE)

I agree to NOT attend the race if I have any symptoms of Covid-19, if I have tested positive for Covid-19 in the past 14 days, if I have had contact with anyone who has tested positive for Covid-19 in the previous 14 days, if I have been advised by a public health department that I have come in contact with a positive patient in the last 14 days. In addition, I will NOT attend the race if I am out of compliance with the NYS travel regulations for interstate travel. *

Yes

At the race venue, I will wear a mask covering my nose and mouth at all times unless I am actively skiing, and I will physically distance from others by 6 feet. *

Yes

Please type your full name as an electronic signature to sign the above waiver for the races at Swain on March 7th *

Payment

We accept payment through Paypal or Venmo. Both payment methods are separate from this form. Please pay the total amount for both days if you are attending Saturday and Sunday.

Prices
Swain GS/SL- $65 if you need a ticket, $40 if you have a ticket, $55 Non-racer guest pass

I will pay using the following method (link to payment methods below and at nymasters.net/registration): *

Venmo (https://venmo.com/NYMasters)

Paypal (https://paypal.me/pools/c/8wQjAaAaET)

A copy of your responses will be emailed to the address you provided.

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