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ATHLETIC ACTIVITIES - Alumni - Cornell University

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Number of Participants x Fee = $ TOTAL<br />

________x $10.00 = $________ANNUAL <strong>ATHLETIC</strong>S REUNION BREAKFAST<br />

________x $12.00 = $________CANOEING ON BEEBE LAKE - Please indicate how many in your party<br />

___ Friday, 10:00 to 11:00 am ___ Saturday, 10:00 to 11:00 am<br />

___ Friday, 11:00 am to Noon ___ Saturday, 11:00 am to Noon<br />

___ Friday, Noon to 1:00 pm ___ Saturday, Noon to 1:00 pm<br />

___ Friday, 1:00 to 2:00 pm ___ Saturday, 1:00 to 2:00 pm<br />

___ Friday, 2:00 to 3:00 pm ___ Saturday, 2:00 to 3:00 pm<br />

___ Friday, 3:00 to 4:00 pm ___ Saturday, 3:00 to 4:00 pm<br />

___ Friday, 4:00 to 5:00 pm ___ Saturday, 4:00 to 5:00 pm<br />

________x $8.00 = $_________HEMLOCK GORGE ZIPLINE - Please indicate how many in your party<br />

___ Friday, 10:00 to 11:00 am ___ Saturday, 10:00 to 11:00 am<br />

___ Friday, 11:00 am to Noon ___ Saturday, 11:00 am to Noon<br />

___ Friday, Noon to 1:00 pm ___ Saturday, Noon to 1:00 pm<br />

___ Friday, 1:00 to 2:00 pm ___ Saturday, 1:00 to 2:00 pm<br />

___ Friday, 2:00 to 3:00 pm ___ Saturday, 2:00 to 3:00 pm<br />

___ Friday, 3:00 to 4:00 pm ___ Saturday, 3:00 to 4:00 pm<br />

___ Friday, 4:00 to 5:00 pm ___ Saturday, 4:00 to 5:00 pm<br />

________x $40.00 = $________Hoffman Challenge Course, Friday, 12:30 to 4:30 pm<br />

_____ Family Session: # adults_______ # children______ ages____________<br />

_____ Adults–Only Session<br />

________x $30.00 = $________ HORSEBACK RIDING - LESSONS (mark preferred timeslot)- Please indicate how many in your party<br />

Friday: Beginner ___ 1 pm Intermediate ___ 2:30 pm<br />

Friday: Beginner ___ 4 pm<br />

Saturday: Beginner ___ 9 am Intermediate ___ 10:30 am<br />

Saturday: Beginner ___ 12 Noon<br />

Sunday: Beginner ___ 10 am Intermediate ___ 11:30 am<br />

Sunday: Beginner ___ 1 pm<br />

________x $25.00 = $________ LINDSETH CLIMBING WALL<br />

_____ Friday, 1:00 to 3:00 pm _____ Saturday, 1:00 to 3:00 pm<br />

_____ Friday, 3:00 to 5:00 pm _____ Saturday, 3:00 to 5:00 pm<br />

TOTAL DUE = $ _________<br />

I have enclosed a check for Athletics registration fees made payable to <strong>Cornell</strong> <strong>University</strong>. Check #_____________________<br />

I am using my AMEX/Discover/MasterCard/Visa. (Circle one.)<br />

Credit Card Number_______________________________________________ Expiration Date_______________________<br />

Name on Card______________________________________ Signature________________________________________<br />

PART II<br />

Reunion 2011 Athletics Waiver<br />

In consideration of my application being accepted, I hereby, for myself, my heirs, executors and assigns waive, release,<br />

and forever discharge <strong>Cornell</strong> <strong>University</strong>, its agents, officers and employees, other sponsors, and their representatives,<br />

successors, and assigns, from any and all liability, claims or costs of any nature whatsoever, including, but not limited to<br />

personal injury or death, arising out of or in any way related to my participation in all Reunion 2011 athletic events. Further,<br />

I hereby grant full permission to any and all of the foregoing to use my name, photographs, videotapes, motion pictures,<br />

recordings, or any other record of this event for any legitimate purpose, without compensation or remuneration.<br />

Athlete's signature (parent if under 18): ________________________________ _________________________________<br />

PRINT NAME<br />

SIGNATURE<br />

Athlete's signature (parent if under 18): ________________________________ _________________________________<br />

PRINT NAME<br />

SIGNATURE<br />

Athlete's signature (parent if under 18): ________________________________ _________________________________<br />

PRINT NAME<br />

SIGNATURE

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