Caney Lakes 2025 Individual Registration

SI-Card Number

If they have one enter the number here, otherwise leave blank and we will assign an ALTOS Si-Card to this participant.

Runner Full Name*

First NameLast Name

Runner Gender*

MaleFemale

Runner Age*

Date

Runner Club

Course*

Team Member Name (Team Member must register)

First NameLast Name

Team Member Gender

MaleFemale

Runner Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I   First Name   Last Name , do hereby in consideration for being allowed to participate in the Caney Lakes Orienteering Meet at Caney Lakes Recreational Area on date listed above and co-sponsored by the Ark-La-Tex Orienteering Society (ALTOS). I hereby agree to assume full responsibility for any and all risks and for my and my children's own safety and do further hereby agree to indemnify, hold harmless, and defend the National Forest Service, ALTOS, and Keith Pittman (Meet Director) and all of their officers, employees, and agents, acting officially or otherwise, from any and all liability (whether by negligence, strict liability, or other fault), and from any and all claims, demands, actions, debts, and attorney fees arising out of, claimed on account of, or in any manner predicated on loss or damage to the property of and injuries to, or death of, any persons whatsoever, which may result from my or my children's participation or presence within the limits of the Caney Lakes Recreation Area in connection with the aforesaid meet or program, and do further hereby waive forever any claims, demands, or actions I or my children may have arising therefrom. The undersigned, if not already a member Orienteering USA, is granted a one-time guest membership to Orienteering USA for the dates stated above. Please note that this membership does not entitle you to the entire list of benefits of an annual member.

Runner Name
Date*   Signature*

Legal Guardian (if under 18)
First Name   Last Name   Signature

Today's Date*

Date

Cost of Late Entry $10 ($8 ALTOS and orienteering club members), on or After 12/04/2025 (This includes a $1 entry fee to Lake Claiborne State Park) *

Cost of Kids Entry *

Cost of Early Entry $8 ($6 ALTOS and orienteering club members) on or Before 12/03/2025 *

Caney Lakes 2025 Individual Registration

Waiver and Release