Q50 RACES

Q50 U.S.A. - Registration

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ENTRY FEES:

50K ULTRA
$75 - June 1 - August 1
$80 - August 2 - September 15
$90 - September 16 - October 10

50K RELAY (per team)
$90 - June 1 - August 1
$95 - August 2 - September 15
$105 - September 16 - October 10

10K FUN RUN
$25 - June 1 - August 1
$30 - August 2 - September 15
$35 - September 16 - October 17 (*)

(*) Only for 10km Fun Run

Please note: T-shirts are not guaranteed for entries received within two weeks of the event.

REGISTRATION CLOSES OCTOBER 10th, or when the entries available are sold out.

ONLINE REGISTRATION: Please complete al the information required in the entry form you will find following.

PAYMENT:
**BY MAIL: Please, complete the pdf registration form. Then, please mail us the entry form and a check on the name of Interquest Exports and Imports Inc.

201 St. Charles Av. Suite 114-364
New Orleans, LA 70170

Phone number: 504 390 8807
You will receive an entry confirmation by email once we receive it.

**ONLINE AND WIRE TRANSFER: Please, complete the online registration form you will find following.
Then, contact us info@q50ultras.com, we will send you the details of our USA Bank Account so you can wire us the entry fee. Please, remember to use your Name and Last Name as a wire transfer reference so we can trace it at our end and identify it as yours and confirm your registration by email.

**PAYPAL: Just send us an email to info@q50ultras.com, let us know that you want to use this option to pay your entry fee. We will send you a payment request form by email. Easy!

CAN'T WAIT TO SEE YOU ALL IN MANDEVILLE NEXT OCTOBER!!

If you have any questions about Q50 Ultras events, please don't hesitate to contact us to: info@q50ultras.com, we will be happy to provide any information you might need.

IMPORTANT FOR REGISTRATION ONLINE:

If you select:

Posta de 25 millas 2 corredores you ARE REGISTERING FOR 2x25km RELAY

Individual 50 millas (80.5k) YOU ARE REGISTERING FOR 50km Ultra

(the options are per defect in miles in the entry form, but for this Q50 Ultra distance are as mentioned before). Sorry for the inconvenience. Please, complete the form focusing in the modality you want to run.

Thank you!.

I want to register for?

The Other Team Member Information.

Your Name and Last name: (*)

Your email: (*)

Phone number: (*)

Address : (*)

ZIP Code: (*)

City/State and Country: (*)

Birth Date:
/ / (DD / MM / AAAA)

Passport number or D.N.I.:

Medical Insurance:

Medical Insurance Phone (and # if necessary):

T-shirt size:

Please list below any medical or physical condition(s) that should be noted by the Medical Director. Please describe any medical/physical conditions that may affect your ability to safely take part in this event and list any medications that you are routinely taking. Also please mention if you are allergic to any insects, or medicines. List N/A if no conditions exist.

Name and telephone number of relative or friend who can be called in case of emergency:

Name and telephone number of relative or friend who can be called in case of emergency 2:

WAIVER:
I hereby confirm that I have read the Q50 Ultramarathon Rules and Regulations and voluntarily sign this waiver. I confirm my agreement to assume the entire risk of any loss, property damage, illness, injury, contact with other participants, damages caused by weather conditions and geographical obstacles, or death that I may sustain or cause as a result of my participation on the Q50 Ultras (the “Event”). I understand that my participation in the Event may include participation in activities which demand a very high level of skill and physical and mental fitness. I confirm that I register on the Event declaring to be medically able and properly trained. I hereby assume responsibility to follow any decision given by an organization official or doctor relative to my ability to complete the race. Having read this text and having acknowledged possible consequences and considering my acceptance in participating in the Event, I hereby, under my name and under any person that may represent me, release and discharge Q50 Ultras Organizers, local authorities related to the event and all Oficial Sponsors that intervene in the Event, contractors, representatives and successors, from present and future claims and liabilities of any kind, known or unknown, arising out of my participation on this event or related activities, even though such claim or liability may arise out of negligence or fault on the part of any of the forgoing persons or entities. I grant permission to the foregoing persons or entities to use any photographs, motion pictures, recordings, or any other record of my participation in this event for any legitimate purpose without remuneration.