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Therapeutic Recreation’s Amazing Race

How To Register And Why To Register 2010

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

Therapeutic Recreation’s 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 ($100 for a two person team) 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. During the summer of 2010, a total of $11,000 was utilized to provide financial support for participants to attend summer day camp. All
scholarships awarded were based on the economic need of the participant. This is significantly less than the amount we were able to provide for the
summer of 2009. One of the realities that we had to face this summer, was the fact that there simply was not enough money to provide scholarships to
all those who needed them.

Therapeutic Recreation’s Amazing Race will be held on Saturday, November 6, 2010. The race will begin in Charlotte’s Marshall Park with
the first team leaving on their adventure of Uptown Charlotte at 9:00 AM. Prior to the race, all teams will participate in a pre-race meeting on
Tuesday, November 2, 2010 from 7:00 – 9:00 PM. The meeting will be held at the Marion Diehl Recreation Center at 2219 Tyvola Road. 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 on how start times will be determined. Since this race involves solving challenges, starting times will be determined by
team scores in a Charlotte / Mecklenburg County Trivia Challenge. The higher the team score in the trivia challenge, the earlier the start time. So,
brush up on your Charlotte / Mecklenburg County history, people, places, events and general knowledge!
 Therapeutic Recreation’s Amazing Race
How To Register And Why To Register 2010
Steps to completing registration for Therapeutic Recreation’s 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 and return by email to:
Karla.Gray@MecklenburgCountyNC.gov
Or by mail to:
Therapeutic Recreation’s Amazing Race - TR Summer Scholarship Fund
2219 Tyvola Road
Charlotte NC 28210
2) Paying for your registration:
Send your Check or Money Order payable to “Partners for Parks” to:
Therapeutic Recreation’s Amazing Race - TR Summer Scholarship Fund
2219 Tyvola Road
Charlotte NC 28210
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.
If you have questions about your registration, please call: 704-432-4322
All registrations and payments for the Amazing Race are due by Monday, October 25, 2010.
 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):

Team Registration Fee: $100 Date Received:

 Therapeutic Recreation’s Amazing Race
Waiver and Release 2010
In consideration of my participation in Therapeutic Recreation’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 Therapeutic Recreation’s Amazing Race 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 Therapeutic Recreation’s Amazing Race or at any
pre- or post- event associated with Therapeutic Recreation’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 Tuesday, November 2 nd at the pre-race meeting.
 Therapeutic Recreation’s Amazing Race
Race Rules
Therapeutic Recreation’s 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.
Race Rules:
Teams must attend the pre-race meeting and answer questions to receive their race start time. If your team
does not attend the pre-race meeting, a start “penalty” will be added to your time.
Teams must obey all local laws, regulations, traffic laws. Participants are solely responsible for their
actions and the consequences of those actions during Therapeutic Recreation’s Amazing Race.
Team members must wear the official bib number at all times and in such a way that it is clearly visible.
Teams must comply with the directions of Therapeutic Recreation’s 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).
Teams must have a minimum of one cell phone with text capability for use during the race.
Teams must complete the entire course – passing through and checking in at all checkpoints in the
identified order – in order for their time to be considered complete.
Therapeutic Recreation’s Amazing Race staff reserve the right to remove a team from the course for health,
safety or other reasons, at the discretion of the race staff.
Therapeutic Recreation’s 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. Therapeutic Recreation’s 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 Therapeutic Recreation’s 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 Therapeutic Recreation’s Amazing Race are open to regular vehicular
traffic during the event.

Team Member 1: Date:

Team Member 2: Date:

 Therapeutic Recreation’s Amazing Race
Donation Form 2010
I want to support the Therapeutic Recreation Summer Day Camp Scholarship Fund but do
not want to be a part of a team for Therapeutic Recreation’s Amazing Race.

I would like to contribute the following amount and have included my check or money
order made payable to “Partners for Parks”:

$50 $175

$75 $200

$100 $225

$125 $250

$150 Other Amount: $

Name: __________________________________________________________________

Address: __________________________________________________________________

City: __________________________________________________________________

State: __________ Zip Code: __________

Home Phone: (______) ______-__________ Cell Phone: (______) ______-__________

Email Address: ________________________________________________________________

Mail to: Therapeutic Recreation’s Amazing Race - TR Summer Scholarship

Fund
2219 Tyvola Road
Charlotte NC 28210