TTL-Xtreme! Registration

WE ARE DONE!

What a great year! Won't you come back and join us for 2012? We should be gearing up for another great Take the Lake around March, so don't miss your next great chance to do something great!

The form below won't get you anywhere, but we have to keep it on the site, or we'll lose it and won't know what to do next year!

Want an official 2011 Take the Lake t-shirt?
Please use the t-shirt page.

Have you already registered and just need to pay the fee?
Click here.

Are you serious?
Good, then register for TTL X-TREME!
August 27, 2011 - Your Day of Infamy

Name *

First

Last

Select One *

Email *

Sex *

Phone Number *

Street *

City *

State *

ZIP *

Please read this waiver carefully

Liability waiver and release: Upon acceptance of my entry, I for myself, my heirs and assigns, hereby release the sponsors, officials and volunteers of Take the Lake 2011 from any and all liability arising from illness, injury or death I may suffer as a result of my participation in this event. I attest that I am physically able and have sufficiently trained for this demanding event and am aware that participation could result in physical injury. Publicity Waiver: I grant permission for photos, motion pictures, recordings or any other record of this event.

By checking the box below, I state that I am at least 18 year old. *

Yes

By checking the box below I state that I agree to the above waiver. *

Yes

This is my Date of Birth (MM/DD/YY) *

By typing my full name, I am casting my signature on this electronic form *

I want to Help! *

Email me so I can help organize TTL-Xtreme! I would like to volunteer during the weekend I'm outside Col. Cnty. Send broch & I'll promo TTL-Xtreme! I would like to sponsor TTL-Xtreme!

Comment (For example, please note if credit card is not in participant's name...) *

Take the Lake 2011

WE ARE DONE!

Are you serious? Good, then register for TTL X-TREME!August 27, 2011 - Your Day of Infamy

Please read this waiver carefully

Are you serious?
Good, then register for TTL X-TREME!
August 27, 2011 - Your Day of Infamy