| www.runwalkjog.com | |||
|
|
|||
|
FEATURED EVENT |
|||
|
DATE |
|
LOCATION |
|
|
TIME |
DISTANCE |
||
|
Contact: Michael Hays |
Info Phone: (208) 521-2243 |
||
|
|
|||
|
Registration Fee
(Non-refundable): $20 before January 15 - $25 after January 15
Please print! Illegible forms cannot be processed
Name: __________________________________________________________________________
Address: ________________________________________________________________________
City: _______________________________________ State: __________ Zip: _________________
Gender: ___ Birth date: ____/____/____ Age on Run Day: _______ Phone: (_____)_____________
Event Distance __________________________ Shirt size (circle): S M L XL XXL
E-mail address: ___________________________________________________________________
LIABILITY WAIVER MUST BE SIGNED BEFORE MAILING: If the waiver is not signed the registration form will be returned I know that running a race is a potentially hazardous activity and that I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants and wildlife, the effects of the weather, including cold and/or rain or snow, traffic and the conditions of the road and path, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers PERSONAL BEST Performance, and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.
Signature ______________________________________________________ Date: ____________________________
(parent or guardian if under 18): _____________________________________ Date: ____________________________
This is a 2007 Teton Racing Series event |
|||
|
We would like to thank Community Care as a sponsoring organization |
|||
|
|
|||
![]()
Registration Provided By www.runwalkjog.com Privacy And Security Policy