Therapeutic Recreation’s Amazing Race

How To Register 2010

What is Therapeutic Recreation’s Amazing Race and why should I register?

The Therapeutic Recreation Amazing Race is a fun filled urban adventure where two-person teams solve puzzles, figure out clues, find
locations and complete challenges while discovering uptown Charlotte. Your registration fee for Therapeutic Recreation’s Amazing Race will be
deposited directly into the Therapeutic Recreation Summer Day Camp Scholarship fund that is administered through Partners for Parks, Inc. This
dedicated scholarship fund supplies financial support for pre-schoolers, youth, teens and young adults who have disabilities to attend Therapeutic
Recreation Summer Day Camps. For the summer of 2009, scholarships in the amount of $16,856 were awarded based on economic need of the
participant.

This year, Therapeutic Recreation’s Amazing Race will be held on Saturday, March 20, 2010. The race will begin in Charlotte’s Marshall
Park at 8:30AM with the first team leaving on their adventure of Uptown Charlotte at 9AM. Prior to the race, all teams will participate in a pre-race
meeting on Monday, March 15, 2010 from 7 - 9PM. At this meeting, we will go over rules and expectations for the race, distribute team race numbers
and t-shirts, and set the team start times for the race. A little information (and a few hints) about how team start times will be determined. Since
this race involves solving challenges, race times will be determined by team scores in a Charlotte Trivia Challenge. The higher the team score in the
trivia challenge, the earlier the start time. So, brush up on your Charlotte history, people, places and events!
Click on Therapeutic Recreation's Amazing Race logo at the top of any page to open the Therapeutic Recreation Section's webpage
 Therapeutic Recreation’s Amazing Race
How To Register 2010

Steps to complete registration for Therapeutic Recreation Amazing Race

A registration form and payment must be completed for your team in order to be confirmed as being registered.

1) Complete attached registration form return by email to: TRInfo@MecklenburgCountyNC.gov

2) Paying for your registration:
Click on the DONATE button below to be taken to the Partners for Parks website.
At the bottom of the page, click on the DONATE button to be taken to the secure donation site.
Under “I want to contribute:” enter $100. This is your registration fee for your team.
In the “Designation” section, enter “TR Summer Day Camp Scholarship Fund.”
***This must be entered for your donation to be applied to the TR Summer Day Camp Scholarship fund***
Click “Add to Giving Cart” and follow the prompts to complete your transaction.

Remember, your registration is not complete until both your registration form and payment are received. Once you have sent in your team
registration form and completed the payment process, you will receive a confirmation email (within 72 hours) of your Team’s participation
in Therapeutic Recreation’s Amazing Race.

Partners for Parks is a non-profit

independent organization
 Therapeutic Recreation’s Amazing Race
Registration Form 2010

Team Member 1: Team Member 2:

Name: __________________________________________________ Name: __________________________________________________
Date of Birth: ______/______/______ Date of Birth: ______/______/______
Address: ________________________________________________ Address: ________________________________________________
City: ______________________ State: ____ Zip Code: _________ City: ______________________ State: ____ Zip Code: _________
Home Phone: (___)___-______ Cell Phone: (___)___-______ Home Phone: (___)___-______ Cell Phone: (___)___-______
Email Address: __________________________________________ Email Address: __________________________________________
Emergency Contact: ______________________________________ Emergency Contact: ______________________________________
Home Phone: (___)___-______ Cell Phone: (___)___-______ Home Phone: (___)___-______ Cell Phone: (___)___-______
T-shirt Size (check one): T-shirt Size (check one):
 Adult Small Adult XL  Adult Small Adult XL
 Adult Medium Adult 2XL  Adult Medium Adult 2XL
 Adult Large  Adult Large
Medications, dietary restrictions and allergies (please explain): Medications, dietary restrictions and allergies (please explain):
 Therapeutic Recreation’s Amazing Race
Waiver and Release 2010
In consideration of my participation in T R’s Amazing Race, I hereby release and hold harmless Mecklenburg County, Mecklenburg County Park
and Recreation, Partners for Parks Foundation, and any and all employees or agents, to the extent allowed by the law. I also agree, on behalf of
myself, not to make any claims or demands of any kind against Mecklenburg County, Mecklenburg County Park and Recreation, Partners for Parks
Foundation, sponsoring organization or agencies, or any of its employees or agents for any loss or injury that might be sustained while engaging in
the Community Challenge or as a result thereof.
I authorize such physician or medical staff as the Mecklenburg County Park Recreation Department may designate to carry out any minor
medical/surgical treatment and/or medication necessary, or to transport me to the nearest emergency facility, and I further authorize its medical staff
to provide any treatment decided necessary for my well-being.
Furthermore, unless stated in writing, I give my permission to use any photographs taken during T R’s Amazing Race or at any pre- or post- event
associated with T R’s Amazing Race for public relations, promotion or marketing purposes, understanding all confidential/personal information will
be withheld.

TEAM MEMBER ONE: TEAM MEMBER TWO:

I have signed this release on the _______ day of _______, 20______ I have signed this release on the _______ day of _______, 20______

Team Member Name: _____________________________________ Team Member Name: _____________________________________

Team Member Signature: __________________________________ Team Member Signature: __________________________________

Please complete name and date and return with completed packet / you will sign this form on Monday, March 15 th at the pre-race meeting.
 Therapeutic Recreation’s
Amazing Race 2010
The TR Amazing Race is a fun-filled urban adventure. Teams of two
solve clues, have a wild city adventure and complete fun challenges
while discovering the city in a fresh way!

Objective:
to have fun!
to have an adventure.
to provide an opportunity for a child, who otherwise could not afford it, to attend summer day camp.

Race Rules:
Each team must attend the pre-race meeting and answer questions to receive their race heat time for the
day of the event.
Each team must obey all local laws, regulations, traffic laws. Participants are solely responsible for their
actions and the consequences of those actions during the TR Amazing Race
Each team member must wear the official bib number at all times, in such a way that it is clearly visible.
Each team must comply with the directions of The TR Amazing Race staff, local authorities and property
and/or venue owners and managers.
Teammates must stay together at all times during the race.
Only self-powered travel is allowed (bicycles, mopeds, vehicles and public transit are not allowed)
Each team must have a minimum of one cell phone with text capability for use during the race.
Teams must complete the entire course, pass through and check in at all checkpoints in order
TR Amazing Race officials reserve the right to remove a team from the course for health, safety or other
reasons, at the discretion of the race officials
The TR Amazing Race staff reserves the right to disqualify any participant or team for any reason at any
time.
A team’s time will be recorded when both teammates cross the finish line.
If more than one team is present at a challenge location at the same time, the teams will complete the
challenge in the order in which they arrived. The TR Amazing Race staff reserves the right to delay a team
until the previous team has completed the challenge before allowing the next team to begin.
Acknowledgements:
I understand that there is no set race course
I understand that failing to adhere to the rules of the TR Amazing Race could lead to disqualification
I am aware that there are no aid or water stations located on the course
I am aware that all streets used for the TR Amazing Race are open to regular vehicular traffic during the
event

Team Member 1:_______________________________________ Date___________

Team Member 2:________________________________________ Date___________