FLORIDA'S PREMIERE ADVENTURE RACING CLUB
Annual Membership Form
Participant Release of Liability (Terms)
I understand there are physical risks involved with the participation in workouts with the Florida Xtreme Adventure Racing Club. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of others, and assume full responsibility for my participation. I state that I am in proper physical condition to participate in the events and am over 13 years of age. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

In order to promote Florida Xtreme and receive discounts from race directors all club members/teams are encouraged to enter all events using the name Florida Xtreme with a back slash sub-name. Race directors will provide discounts to races if Florida Xtreme has more than one team register. Bulk pricing works here too.

Samples are: 1. FLX/Whatever
                  2. Florida Xtreme/Team Lost

Please fill in all data to complete the membership:

Name:

Sex:

Age:

Address:

City:

State:Zip

Phone:

Email:

T-shirt size (Premiere Membership only)

Are you new to adventure racing?
Are you on a team?
Are you looking for teammates to start a team?

What other sports are you currently active in?
What is your average road running pace?
What was your longest adventure race?

What is your personal strong points?

Other information about you to help in finding teammates.

All personal data provided is fully protected and is only for use by the club and sponsors. Will not be used or submitted to any third party.
Team Name
Please choose which type of membership: If you need to understand which membership fits your needs please view the Membership Page


Premiere Membership
General Membership
YesNo
Med
Large
XL
XXL
YesNo
YesNo
Triathlons
Mountain Biking
Running or Trail Running
Kayaking
7:30 to 8
8 to 8:30
8:30 to 9
9 to 9:30
9:30 to 10
10 to 11
11 plus
3 hrs
6 hrs
8 hrs
12 hrs
18 hrs
24 hrs
30 hrs
3 days
4 days or more
Mountain Biking
Running
Kayaking
Navigation
Team Motivation
I agreeI do not agree
MaleFemale
$35 Per Year
Road Biking
FREE!