SIGN IN
|
JOIN
Negative Split Racing
Toggle navigation
Menu
Join/Sign In
About
Calendar
Activity Calendar
Member Races
Communications
Message Board
Newsletters
Members Area
Member Directory
Club Deals
Routes
Swap Spot
Store & Forms
Resources
Races
Results
If you are already a member,
SIGN IN
Annual Membership
Swag
- Hat or Visor
- Dri-fit shirt men or women(specific)
- Silicon Swim cap
- Track every Tuesday - Certified Coach Gerald
- Hills every Thursday - Certified Coach Gerald
- Weekly Group Ride - Compliments of Tri Shop
- Weekly Group Swim - weather permitting (seasonal Mar-Sep)
- Sponsor deals as available
- Support at Team Races
- Coach Gerald!
First Name
*
Last Name
*
Email
*
Password
*
Confirm
*
Categories
*
Coached Client Annual Membership -
$99.00
Annual Membership -
$119.00
Country Address
United States
United Kingdom
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Address
*
City
*
State
*
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone
*
Mobile Carrier
-- no text notifications --
AT&T
T-Mobile
Verizon
Sprint
Virgin Mobile
Tracfone
Metro PCS
Boost Mobile
Cricket
Nextel
Alltel
Ptel
Suncom
Qwest
U.S. Cellular
Other
leave blank if do not want to enable text notifications
Emergency Contact
*
Emergency Phone
*
NSR Tech Shirt
First one FREE,
$14.99
for each additional
Negaitve Split Racing - Dri-fit shirt
Show Product Options
XS
S
M
L
XL
Team Hat/Visor
First one FREE, for each additional
Team hat or visor
Show Product Options
Team Hat
Team Visor
Waiver
NEGATIVE SPLIT RACING PROGRAM RELEASE OF ALL CLAIMS In consideration of the Negative Split Racing Group providing instruction and guidance to me, attempting to further my knowledge, and permitting me to participate in the Group, I ACCEPT and hereby agree to the following: I hereby covenant not to bring any action legal, equitable, or otherwise, or to make any claim of any nature whatsoever against Negative Split Racing, Rachel Jackson, Brittney Dellinger, Warren Durham, its employees, agents, the Group and its instructors, representatives and any other persons involved with the Group’s activities, either directly or indirectly, for any personal injury or injuries, including death or property damage which I or others might sustain in engaging in the Group’s activities necessarily or incidentally associated therewith. 1. I do hereby release and further discharge Negative Split Racing, its employees and agents, and the Group instructors, representatives and any other persons, either directly or indirectly, of any responsibility or liability of any nature to me for any personal injuries, death or property damage which I may suffer or incur either directly or indirectly as a result of my participation in the Group’s activities. 2. I MAKE THESE COVENANTS, RELEASE AND WAIVERS KNOWINGLY AND VOLUNTARILY WITH FULL KNOWLEDGE OF ANY EXISTING DANGERS IN TRAINING, PRACTICING, PLAYING, TRAVELING AND ENGAGING IN ANY OTHER GROUP ACTIVITIES; WHICH DANGERS I HEREBY FURTHER EXPRESSLY VOLUNTARILY ASSUME. 3. I further make these covenants, releases, and waivers to bind myself, my executors, heirs, administrators and assigns to the fullest extent. 4. I do execute this Release with the intent to be legally bound hereby for myself and on behalf of my heirs, administrators, executors and assigns. NEGATIVE SPLIT RACING SPORTS PROGRAM ASSUMPTION OF RISK Negative Split Racing involves strenuous physical activity. Health professionals recommend that all participants complete a physical exam or have a doctor’s approval prior to beginning any exercise program and strongly urge all participants over the age of 45 to have a graded exercise test prior to beginning any exercise program. By accepting this agreement one understands the importance of securing a physician’s approval of the participation in Negative Split Racing activities prior to participation in those activities. Participation in Negative Split Racing involves inherent risk. Possible injuries include, but are not limited to, contusions, muscle strains and sprains, broken bones, lacerations, cardiac malfunction, head, neck, and back injury, paralysis, drowning (in water activities), and death. By accepting this agreement one understands that he/she should asses his/her physical condition and the possibility of injury. By accepting this agreement one understands that he/she is fully responsible for any and all medical expenses that he/she might incur as a result of his/her participation in any Negative Split Racing activities. Participation in any Negative Split Racing Sports Program activity is contingent on proof of valid medical coverage. By accepting this agreement one certifies that he/she has adequate medical insurance coverage that will cover any and all medical expenses resulting from his/her participation in any of the Negative Split Racing activities. By accepting this agreement one understands that any travel conducted in conjunction with Negative Split Racing is voluntary and discretionary. Negative Split Racing DOES NOT ASSUME ANY LIABILITY FOR SUCH VOLUNTARY TRAVEL. By accepting this agreement one has read this document and fully understands the risks involved with participation in any Negative Split Racing activity, and willingly agrees to accept and assume those risks.
Read through the agreement
I have read and agreed to the waiver above
*
Are you 18 or older?
*
18 or older
Under 18
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. If registering a child under 13, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
Payment Summary
Discount, Tracking, or Charity Code
Apply
Price
$
Discount
$
(-)
Handling
$
Total
$
Payment Information
The payment and credit card section is not visible because there is nothing owed or form fields have not been fully completed.
-- select payment method --
Visa or Master Card
Check or Cash
Credit Card #
Exp. Date
01
02
03
04
05
06
07
08
09
10
11
12
/
18
19
20
21
22
23
24
25
26
27
28
29
CVV Code
Payable To: Negative Split Racing
Address: 4120 Creekhollow Dr, Carrollton, TX 75010
click the "pay now" button to submit your order then send a check (or pay in person) at the address above.
Purchase
Purchase
Just a moment...