Medical Provider Data Form
Please complete this form for each individual. If you are with a group, please register each individual and provide a group name.
Are you a volunteer?
Cell Phone Number
Provide a simple group name if volunteering together.
Speciality, Area of Intrest, etc
Examples: ICU/Trauma Nurse; Paramedic; etc.
Please carefully consider your availability. We rely upon your commitment. Last minute cancellations and "no-shows' hurt the team and endanger our racers.
Marathon and Heavy-Half
Silver Rush 50 Weekend
MTB - July 8th, 2017 - 08:00 - 17:00
RUN - July 9th, 2017 - 05:00-20:00
Leadville Trail 100 MTB - Stage Race
July 28, 2017 - 08:00 - 15:00
July 29, 2017 - 08:00 - 13:00
July 30, 2017 - 08:00 - 15:00
Leadville Trail 100 - MTB
August 12th, 2017 - 05:00-19:00
Leadville Trail 100 - RUN
This is a 30 hour race. Assignments are staggered and there are periods for rest scheduled.
August 19th, 2017 - 05:00-Midnight
August 20st, 2017 - Midnight-Noon
Comments and/or Questions?
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