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Willow 300 - 2023 Official Entry Form

By checking this box, I certify that I am in good standing with all races that I have run in the past.By checking this box, I understand that if for any reason I am not in good standing with any previous races that I will not be allowed to enter this race and will not be refunded any fees that I have paid.

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Musher's Information

Musher's Full Name(*)

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Kennel Name(*)

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Mailing Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Phone Number(*)

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Alternate Phone Number

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Musher's Email Address(*)

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Musher's Birth Date(*)

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Musher's Biography

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Will you be using this race as a qualifying race for either the Yukon Quest or the Iditarod Race?(*)

YesNo

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Which one will you be using it for?

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Primary Handler Information

Primary Handler's Name(*)

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Primary Handler's Phone Number(*)

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Primary Handler's Alternate Phone Number

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By signing this form, I agree to abide by all 2023 race rules that W300 have implemented and understand that the W300 Board has the right to withdraw my application without refunding any fees if I have violated any rules either before or during the race. I also understand that W300 has the right to use any information stated from this application for press releases, new articles, videos, and/or social media purposes.

Musher's Signature(*)

Sign Above

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Date(*)

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2023 Release and Waiver of Liability

I understand the risk of traveling by dog team in the wilderness and am fully aware of any danger that could cause injury/death.(*)

YesNo

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I, also, understand that there are many mushing accidents/injuries that are unforeseeable. By completing this entry form and signing it, I release the W300 Sled Dog Race and their Board of Directors, committee members, agents and/or representatives, from all liability.(*)

YesNo

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I agree not to sue or bring claims against the W300 Sled Dog Race, and/or any of the Board of Directors, committee members, agents or representatives.

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I agree to not hold Willow 300 Sled Dog Race, Matanuska Borough, and the State of Alaska responsible for any negligence, should I, any guest of mine, and/or any member of my family, including my children be injured at any location associated with the event. This release includes claims relating to all injury of any sort, including fatal injury and injury that is not foreseeable at this time.

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Musher's Signature(*)

Sign Above

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Date(*)

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Payment Information

Your entry to the W300 will not be accepted until ALL entry and membership fees have been paid in FULL.

The W300 Sled Dog Race will NOT accept partial payments at any time. NO CASH WILL BE ACCEPTED.

Choose Payment Method

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Total includes Entry Fee and $30.00 NONREFUNDABLE Membership Fee

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If mailing a check or Money Order, please make it out to: W300 Sled Dog Race 2023

Mail to: W300 Sled Dog Race 2023, PO Box 138, Willow, Alaska 99688

REMEMBER: Your application WILL NOT be accepted until ALL entry and membership fees have been paid in FULL. The W300 Sled Dog Race will NOT accept partial payments at any time.

First Name on Card(*)

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Last Name on Card(*)

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Credit Card Number(*)

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Card Expiration Month(*)

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Card Expiration Year(*)

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CSV Code(*)

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