High Sierra Three Step
August 2009

Online Registration Form

High Sierra Three Step
3432 Overton Road
Cool, CA 95614

Registrations for the 2009 Event will be open at a later date. Please check back.

Please complete the Liability Release and Entrant Info on this page and click the Submit Button. The confirmation page you receive next will provide you with both on-line and mail-in payment options.

 

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

Marked fields ( required field ) are required.
 
First Name: required field
Last Name: required field
Gender: required field Female    Male
Age: required field
Parent or Guardian:
required field   (If under 18, enter First and Last Name of the legally responsible adult who is completing this application.)
Telephone: required field  (include Area Code)
Mailing Address: required field
    
City: required field
State/Provence: required field
Country: required field
Zip/Mailcode: required field
Occupation:      (optional)
Email:      (optional)
T-Shirt Size: required field (Men's Sizes)  Small   Medium   Large   Extra-Large
Emergency Contact Information...
Name: required field  (First and Last Name)
Relation: required field  (such as: Spouse, Parent, Friend)
Phone: required field  (include Area Code)
   
Medical Considerations Allergies, medications, or ongoing problems such as heart disease, diabetes, or asthma.
If none, enter "None."
required field
Dietary Considerations Food allergies or diet restrictions.
If none, enter "None."
required field
Comments Your comments or questions regarding any other factor which may affect your participation in this event.
 
   
 
When you are satisfied that your entries above are complete and correct,
CLICK ONCE on the Submit button...
 
After clicking the SUBMIT button, you will receive a confirmation page
listing your entered information and providing you with payment options.