Registration Packet November 2010

8/8/2019 Registration Packet November 2010

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Therapeutic Recreation’s Amazing RaceHow To Register And Why To Register 2010

What is Therapeutic Recreation’s Amazing Race and why should I register?

Therapeutic Recreation’s Amazing Race is a fun filled urban adventure where two person teams solve puzzles, figure out clues, find locatioand complete challenges while discovering uptown Charlotte. Your registration fee ($100 for a two person team) will be deposited directly into thTherapeutic Recreation Summer Day Camp Scholarship fund that is administered through Partners for Parks, Inc. This dedicated scholarship fundsupplies financial support for pre-schoolers, youth, teens and young adults who have disabilities to attend Therapeutic Recreation Summer DayCamps. During the summer of 2010, a total of $11,000 was utilized to provide financial support for participants to attend summer day camp. Allscholarships awarded were based on the economic need of the participant. This is significantly less than the amount we were able to provide for thesummer of 2009. One of the realities that we had to face this summer, was the fact that there simply was not enough money to provide scholarshipsall those who needed them.

Therapeutic Recreation’s Amazing Race will be held on Saturday, November 6, 2010. The race will begin in Charlotte’s Marshall Park with

the first team leaving on their adventure of Uptown Charlotte at 9:00 AM. Prior to the race, all teams will participate in a pre-race meeting on

Tuesday, November 2, 2010 from 7:00 – 9:00 PM. The meeting will be held at the Marion Diehl Recreation Center at 2219 Tyvola Road. At thismeeting, we will go over rules and expectations for the race, distribute team race numbers and t-shirts, and set the team start times for the race.

A little information on how start times will be determined. Since this race involves solving challenges, starting times will be determined byteam scores in a Charlotte / Mecklenburg County Trivia Challenge. The higher the team score in the trivia challenge, the earlier the start time. So,brush up on your Charlotte / Mecklenburg County history, people, places, events and general knowledge!

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Therapeutic Recreation’s Amazing RaceHow To Register And Why To Register 2010

Steps to completing registration for Therapeutic Recreation’s Amazing Race

A registration form and payment must be completed for your team in order to be confirmed as being registered.

1) Complete attached registration form and return by email to:

[email protected]

Or by mail to:

Therapeutic Recreation’s Amazing Race - TR Summer Scholarship Fund2219 Tyvola RoadCharlotte NC 28210

2) Paying for your registration:

Send your Check or Money Order payable to “Partners for Parks” to:

Therapeutic Recreation’s Amazing Race - TR Summer Scholarship Fund2219 Tyvola Road

Charlotte NC 28210

Remember, your registration is not complete until both your registration form and payment are received. Once you have sent in your teamregistration form and completed the payment process, you will receive a confirmation email (within 72 hours) of your Team’s participation

in Therapeutic Recreation’s Amazing Race.

If you have questions about your registration, please call: 704-432-4322

All registrations and payments for the Amazing Race are due by Monday, October 25, 2010.

mailto:[email protected]





Therapeutic Recreation’s Amazing Race

Registration Form 2010

Team Member 1:

Name: __________________________________________________

Date of Birth: ______/______/______

Address: ________________________________________________

City: ______________________ State: ____ Zip Code: _________

Home Phone: (___)___-______ Cell Phone: (___)___-______

Email Address: __________________________________________

Emergency Contact: ______________________________________

Home Phone: (___)___-______ Cell Phone: (___)___-______

T-shirt Size (check one): Adult Small Adult XL Adult Medium Adult 2XL Adult Large

Medications, dietary restrictions and allergies (please explain):

Team Member 2:

Name: _________________________________________________

Date of Birth: ______/______/______

Address: _______________________________________________

City: ______________________ State: ____ Zip Code: ________

Home Phone: (___)___-______ Cell Phone: (___)___-_____

Email Address: _________________________________________

Emergency Contact: _____________________________________

Home Phone: (___)___-______ Cell Phone: (___)___-_____

T-shirt Size (check one): Adult Small Adult XL Adult Medium Adult 2XL Adult Large

Medications, dietary restrictions and allergies (please explain):

Team Registration Fee: $100 Date Received:




Waiver and Release 2010

In consideration of my participation in Therapeutic Recreation’s Amazing Race, I hereby release and hold harmless Mecklenburg County,

Mecklenburg County Park and Recreation, Partners for Parks Foundation, and any and all employees or agents, to the extent allowed by the law. I

also agree, on behalf of myself, not to make any claims or demands of any kind against Mecklenburg County, Mecklenburg County Park and

Recreation, Partners for Parks Foundation, sponsoring organization or agencies, or any of its employees or agents for any los s or injury that might b

sustained while engaging in Therapeutic Recreation’s Amazing Race or as a result thereof.

I authorize such physician or medical staff as the Mecklenburg County Park Recreation Department may designate to carry out any minor

medical/surgical treatment and/or medication necessary, or to transport me to the nearest emergency facility, and I further authorize its medical staf

to provide any treatment decided necessary for my well-being.

Furthermore, unless stated in writing, I give my permission to use any photographs taken during Therapeutic Recreation’s Amazing Race or at any

pre- or post- event associated with Therapeutic Recreation’s Amazing Race for public relations, promotion or marketing purposes, understanding aconfidential/personal information will be withheld.

TEAM MEMBER ONE: TEAM MEMBER TWO:

I have signed this release on the _______ day of _______, 20______ I have signed this release on the _______ day of _______, 20______

Team Member Name: _____________________________________ Team Member Name: _____________________________________

Team Member Signature: __________________________________ Team Member Signature: __________________________________

Please complete name and date and return with completed packet / you will sign this form on Tuesday, November 2 nd

at the pre-race meeting




Race Rules

Race Rules:

Teams must attend the pre-race meeting and answer questions to receive their race start time. If your team

does not attend the pre-race meeting, a start “penalty” will be added to your time.

Teams must obey all local laws, regulations, traffic laws. Participants are solely responsible for theiractions and the consequences of those actions during Therapeutic Recreation’s Amazing Race.

Team members must wear the official bib number at all times and in such a way that it is clearly visible.

Teams must comply with the directions of Therapeutic Recreation’s Amazing Race staff, local authoritiesand property and/or venue owners and managers.

Teammates must stay together at all times during the race.

Only self-powered travel is allowed (bicycles, mopeds, vehicles and public transit are not allowed).

Teams must have a minimum of one cell phone with text capability for use during the race.

Teams must complete the entire course – passing through and checking in at all checkpoints in the

identified order – in order for their time to be considered complete.

Therapeutic Recreation’s Amazing Race staff reserve the right to remove a team from the course for health,

safety or other reasons, at the discretion of the race staff.

Therapeutic Recreation’s Amazing Race staff reserves the right to disqualify any participant or team for

any reason at any time.A team’s time will be recorded when both teammates cross the finish line.

If more than one team is present at a challenge location at the same time, the teams will complete the

challenge in the order in which they arrived. Therapeutic Recreation’s Amazing Race staff reserves the

right to delay a team until the previous team has completed the challenge before allowing the next team to

begin.

Acknowledgements:

I understand that there is no set race course;

I understand that failing to adhere to the rules of Therapeutic Recreation’s Amazing Race could lead to

disqualification;

I am aware that there are no aid or water stations located on the course;

I am aware that all streets used for Therapeutic Recreation’s Amazing Race are open to regular vehicular

traffic during the event.

Team Member 1: Date:

Team Member 2: Date:

Therapeutic Recreation’s Amazing Race is a fun filled urban

adventure where two person teams solve puzzles, figure out clues,

find locations and complete challenges while discovering uptown

Charlotte.




Donation Form 2010

I want to support the Therapeutic Recreation Summer Day Camp Scholarship Fund but donot want to be a part of a team for Therapeutic Recreation’s Amazing Race.

I would like to contribute the following amount and have included my check or moneyorder made payable to “Partners for Parks”:

$50 $175

$75 $200

$100 $225

$125 $250

$150 Other Amount: $

Name: __________________________________________________________________

Address: __________________________________________________________________

City: __________________________________________________________________

State: __________ Zip Code: __________

Home Phone: (______) ______-__________ Cell Phone: (______) ______-__________

Email Address: ________________________________________________________________

Mail to: Therapeutic Recreation’s Amazing Race - TR Summer ScholarshipFund2219 Tyvola RoadCharlotte NC 28210

Registration Packet November 2010

Documents

Transcript of Registration Packet November 2010