Team Registration

HELLUVA RUN 2012
   

Team Registration  Individual Registration
   

   

   

   

DATE/TIME

  

Saturday, September 29, 2012 - 8:00am
     

LOCATION

   Hell Creek Ranch, 10866 Cedar Lake Rd Hell, MI
Corner of Cedar Lake Rd. and Patterson Lake Rd.
     
ENTRY FEE
 		   $20.00 Pre-Registration, By Sep 21, 2012
$30.00 Late Registration
$120.00 Team Registration
      
BENEFICIARY   5K Foot Race Sponsored by the Boy Scouts of America
     
INFORMATION   http://www.runningfoundation.com/Helluva_Run.html
       
AWARDS   Awards for overall Male and Female
Awards for overall Master Male and Female
Awards for overall Grandmaster Male and Female
Awards for overall Senior Male and Female
Awards for first 3 places in each age group
Awards for first 3 places, Teams Troop, Crew & Pack
Awards will not be mailed or delivered
       
Age Groups
M & F		   14 & Under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-89, 90 and over
     
Team Rules   Scout Team Entry: Scout Units (Troops, Packs, Crews) enter as a team. Each Team must have 6 members. The 5 best times averaged will rep-resent your teams time. You can win both indi-vidual and team awards.
   
       

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration. For online registration a processing fee of $1.00 will be added to the registration fee for each Team Member.
   
The Below Form Is For Team Registration.  For Individual Registration Click Here.
                   
HELLUVA RUN 2012
   
        Team Name:

         Select One: Troop Crew Pack

       Unit Number:

TM (Team Member) Information Below

TM 1 Last Name:
TM 1 First Name:
   TM 1 Shirt Size:
            TM 1 Age:
     

TM 2 Last Name:
TM 2 First Name:
   TM 2 Shirt Size:
            TM 2 Age:

TM 3 Last Name:
TM 3 First Name:
   TM 3 Shirt Size:
            TM 3 Age:

TM 4 Last Name:
TM 4 First Name:
   TM 4 Shirt Size:
            TM 4 Age:

TM 5 Last Name:
TM 5 First Name:
   TM 5 Shirt Size:
            TM 5 Age:

TM 6 Last Name:
TM 6 First Name:
   TM 6 Shirt Size:
            TM 6 Age:

      Team Contact:

                Address:

                       City:

                     State:

                        Zip:

                   Phone:

                    Email:

Please note: To participate in the race, each team member must provide a signed release agreeing to the terms of the following conditions.

Waiver: In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assigns do hereby release and discharge the “helluva run” run, the Boy Scouts of America, its agents, representatives or affiliates, and any and all other sponsors jointly and severally, for any and all claims of injuries or damages incurred by me as a result of or in connections with said event. I attest and verify that I have full knowledge of the risks involved in the event and am physically fit and trained to participate in this event. (caution! be aware there will be vehicle traffic on the roads at all times)

To Print Form Click Here


Waiver:   I understand that the release must be signed by each Team member and returned prior to participating in the Event. Print out and bring the signed waiver to pre-registration or to the race. You must have the form completed and turned in prior to event start.
   
 
   
Online Payments
   
          
   

   

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