Entry Form
Cupid's Classic - February 13, 2010
Mail completed entry form and fee to: Cupid's Classic, @ 9435 180th Way Sw, Rochester, Wa 98579, Rochester, WA
(Please print)

Name (first)                           (last)
|__|__|__|__|__|__|__|__|__|__|__|__|  |__|__|__|__|__|__|__|__|__|__|__|__|
Address
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
City                                   State         Zip
|__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|__|__|__|__|
Phone                                      Sex        Age on Race Day
|__|__|__| |__|__|__| |__|__|__|__|       M    F         |__|__|

FEES:

Marathon (Before January 7)           $60.00  $ ______
Marathon (Before January 20)          $65.00  $ ______
Marathon (Before February 1)          $70.00  $ ______
Marathon (Before February 13)         $75.00  $ ______
Marathon Day of race                  $80.00  $ ______
Half-marathon (Before January 20)     $40.00  $ ______
Half-marathon (Before February 1)     $42.00  $ ______
Half-marathon (Before February 13)    $45.00  $ ______
Half-marathon day of race             $50.00  $ ______
10 Miles (Before February 13)         $30.00  $ ______
10 Miles day of race                  $35.00  $ ______
10K (6.2 miles) (Before Feb. 1)       $25.00  $ ______
10K (Before February 13)              $27.00  $ ______
10K day of race                       $30.00  $ ______
5K (3.1 miles) (Before Feb. 1)        $22.00  $ ______
5K (Before Feb. 13)                   $25.00  $ ______
5K Day of race                        $27.00  $ ______
1 mile fun run (Before Feb. 13)       $15.00  $ ______
1 mile day of race                    $18.00  $ ______ 
Duathlon  Before Feb. 1)              $25.00  $ ______  
Duathlon (Before Feb. 13)             $30.00  $ ______
Duathlon day of race                  $35.00  $ ______
Du 2/3 person team (Before Feb 13)    $60.00  $ ______
Kids mini du (Before February 13)     $18.00  $ ______
Kids mini du day of race              $20.00  $ ______
            Marathon maniacs discount-$10.00  $ ______
            No shirt option          - $5.00  $ ______
            longsleeve shirt          $12.00  $ ______
            Sweatshirt longsleeve     $20.00  $ ______
            Hooded longsleeve sweat   $25.00  $ ______
            Tech shirt short sleeve   $15.00  $ ______
            Tech shirt long sleeve    $20.00  $ ______
            I will be starting 1 hour early     ______
T-shirt Size (circle one): 
Adult S  M  L  XL   XXL
Kids  S  M  L  XL

MAKE CHECK PAYABLE TO: Kristina Salazar, 9435 180th Way Sw, Rochester, Wa 98579

Waiver I HEREBY RELEASE THE PUGET SOUND CRUISERS, CITY OF ROCHESTER, THURSTON COUNTY, STATE OF WASHINGTON, SWEDE HALL AND ANY VOLUNTEERS, EMPLOYEES, OR ANYONE ELSE INVOLVED IN THE ABOVE EVENTS. I HAVE NO MEDICAL ISSUES AND KNOW BY SIGNING THIS FORM I'M WAIVING MY RIGHTS TO SUE FOR ANY AND ALL REASONS INCLUDING BUT NOT LIMITED TO PERSONAL INJURY OR DEATH. I KNOW MY ENTRY FEE IS NON-REFUNDABLE NO MATTER WHAT THE REASON AND I WILL NOT ASK FOR IT BACK. THE DECISION OF THE RACE DIRECTOR IS FINAL. MANAGEMENT HAS THE RIGHT TO CHANGE ANY RULES AND REFUSE SERVICE TO ANYONE .

__________________________________________________________________
Signature of Athlete Date (Signature of Parent or Guardian if under 18 years)

For more information call 360-480-5981 or wanttoduit@hotmail.com

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