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The 2 nd Annual “Summer is for Sissies” Saturday November 5 th 2016 Hosted by The Rotary Club of Ogallala and Sponsored by: Lake McConaughy Ogallala,NE Name: Pledge: Name: Pledge: Name: Pledge: Name: Pledge: Name: Pledge: Name: Pledge: Name: Pledge: Name: Pledge: PLEDGES: REGISTRATION FORM: Name: Email: Cell Number: Row Waiver: PLEASE READ THE WAIVER THEN SIGN & DATE BELOW I know that participating in any event can be a potentially hazardous activity. I should not enter any event unless I am medically able and properly trained. I agree to abide by any decision of event officials relative to my ability to safely participate. I assume all risks associated with kayaking, canoeing, paddle boarding or rowing of any personally powered boat during the event. I will wear an approved lifejacket during my time in the water. I will be liable for my own safety and the safety of other participants within my control. Having read this waiver and knowing the facts and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release the Rotary Club of Ogallala, Nebraska Game and Parks, all sponsors, their representatives and successors from claims or liabilities of any kind arising out of my participation in this event though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Signature: Date: Signature of Parent or Guardian: (If participant is under 19) R OW A CROSS BIG MAC

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Page 1: r REGISTRATION FORM: PLEDGES: The 2 Annual · Having read this waiver and knowing the facts and in consideration of your accepting my entry, I for myself and anyone entitled to act

r

The 2 nd Annual

“Summer is for Sissies”

SaturdayNovember 5th 2016

Hosted by The Rotary Club of Ogallala and Sponsored by:

Lake McConaughyOgallala,NE

Name: Pledge:

Name: Pledge:

Name: Pledge:

Name: Pledge:

Name: Pledge:

Name: Pledge:

Name: Pledge:

Name: Pledge:

r

PLEDGES:REGISTRATION FORM:

Name: Email: Cell Number:

Row Waiver: PLEASE READ THE WAIVER THEN SIGN & DATE BELOWI know that participating in any event can be a potentially hazardous activity. I should not enter any event unless I am medically able and properly trained. I agree to abide by any decision of event officials relative to my ability to safely participate. I assume all risks associated with kayaking, canoeing, paddle boarding or rowing of any personally powered boat during the event. I will wear an approved lifejacket during my time in the water. I will be liable for my own safety and the safety of other participants within my control. Having read this waiver and knowing the facts and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release the Rotary Club of Ogallala, Nebraska Game and Parks, all sponsors, their representatives and successors from claims or liabilities of any kind arising out of my participation in this event though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.

Signature:

Date:

Signature of Parent or Guardian:

(If participant is under 19)

ROW ACROSS Big MAc

Page 2: r REGISTRATION FORM: PLEDGES: The 2 Annual · Having read this waiver and knowing the facts and in consideration of your accepting my entry, I for myself and anyone entitled to act

This is a Fundraiserto benefit Water Projects around the World

Our Goal is for everyone to raise at least $30.00 ($10.00 per mile) or more in Pledges for Rowing 3 miles

across Big Mac.

Come out, put both oars in the water and help support a water project around the world.

There will be recognition for the biggest pledge/fundraiser.

1ST PRIZE: KAYAK , PADDLE & LIFE JACKET

B.Y.O.B.“Bring Your Own Boat”

Kayak, Canoe, Paddle Board or anything you have powered by humans & oars!

If you don’t have a boat we have Kayaks available from Scott Eveland of the Nebraska

Game & Parks for your use:

call scott to reserve a kayak

(308) 289-0017 | 1sT come 1sT served

The Lake McConaughy Dive Rescue Team will provide Safety Patrol & Rescue during the event

ALL ENTRIES WILL RECEIVE ONE“2nd ANNUAL ROW ACROSS BIG MAC” T-SHIRT PER PERSON PER BOAT

WITH $30.00 IN PLEDGES EACH

YOU MUST PRE-REGISTER AND COMMIT TO AT LEAST $30.00 PER PERSON TO

RECEIVE T-SHIRTS THE DAY OF THE EVENT

Check In/Registration will be 8:00 to 10:00 am

Departure is scheduled for 10:00amLaunch will be from “Spill Way Bay” at the Kingsley Boat Ramps with calm wind or a breeze out of the south, Martin Bay if there is a breeze out of the north & Lake Ogallala below the dam if it’s too windy for the Big Lake

First complete this form and email it to LuRae Hagan

[email protected] or Fax LuRae at (308) 284-6028

If you can’t participate and want to make a contribution complete the form and mail it to LuRae Hagan: Pinnacle Bank P.O. Box 179 | Ogallala NE 69153 with

your check made out to :“Rotary Club of Ogallala”

Deadline for Registration: Yesterday! Get your registration in ASAP!

Commit to $30 and bring all Pledge money the day of the event with checks made out

to “Rotary Club of Ogallala”

QUESTIONS CONTACT:

Ron Schmidt (308) 289-4735 Mary Eisenzimmer (308) 289-5467 Scott Eveland (308) 289-0017

Pool Party at the Goodall Rec Center if its storm! This is a Fund Raiser, it will happen Rain Snow or Shine!