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Entry Form
Mother's Day Running & Multi-Sport Festival - May 9, 2009
Mail completed entry form and fee to:
Mother's Day Running & Multi-Sport Festival, @ 9435 180th Way Sw, Rochester, Wa 98579, Elma, WA
(Please print)
Name (first) (last)
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Address
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City State Zip
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Phone Sex Age on Race Day
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FEES: (Entries include T-shirt):
Marathon (Before April 18) $60.00 $ ______
Marathon (Before May 1) $65.00 $ ______
Marathon (Before May 9) $70.00 $ ______
Marathon Day of race $75.00 $ ______
Half-marathon (Before April 18) $35.00 $ ______
Half-marathon (Before May 1) $40.00 $ ______
Half-marathon (Before May 9) $45.00 $ ______
Half-marathon Day of race $50.00 $ ______
10 miles (Before May 1) $25.00 $ ______
10 miles (Before May 9) $30.00 $ ______
10 miles Day of race $35.00 $ ______
10K (6.2 miles) (Before April 18) $25.00 $ ______
10K (Before May 1) $27.00 $ ______
10K (Before May 9) $30.00 $ ______
10K Day of race $35.00 $ ______
5K (3.1 miles) (Before April 18) $18.00 $ ______
5k (Before May 1) $20.00 $ ______
5k (Before May 9) $23.00 $ ______
5k Day of race $25.00 $ ______
1 mile (Before May 9) $15.00 $ ______
1 mile Day of race $17.00 $ ______
Triathlon Before (April 18) $45.00 $ ______
Triathlon (Before May 1) $47.00 $ ______
Triathlon (Before May 9) $50.00 $ ______
Triathlon Day of race $55.00 $ ______
TRI 2/3 person team (Before April 18)$60.00 $ ______
TRI 2/3 person team (Before May 9) $65.00 $ ______
TRI 2/3 person team day of race $75.00 $ ______
Duathlon (Before April 18) $30.00 $ ______
Duathlon (Before May 1) $35.00 $ ______
Duathlon (Before May 9) $40.00 $ ______
Duathlon Day of race $45.00 $ ______
DU 2/3 person team (Before May 9) $50.00 $ ______
DU 2/3 person team Day of race $55.00 $ ______
Kids race (Before May 9) $18.00 $ ______
Kids race Day of race $20.00 $ ______
No shirt option -$5.00 $ ______
Marathon maniac discount -$10.00 $ ______
Extra short sleeve shirt $8.00 $ ______
Extra tank top $12.00 $ ______
Extra longsleeve $15.00 $ ______
Extra sweatshirt $20.00 $ ______
Upgrade to tank top $10.00 $ ______
Upgrade to longsleeve $11.00 $ ______
Upgrade to sweatshirt $18.00 $ ______
TOTAL ENCLOSED $ ______
T-shirt Size (circle one):
Adult S M L XL XXL
Child S M L XL
MAKE CHECK PAYABLE TO: Kristina Salazar, 9435 180th Way, Sw, Rochester, WA 98579
Waiver I HEREBY RELEASE THE PUGET SOUND CRUISER, THE CITY OF ELMA, STATE OF WASHINGTON, COUNTY OF GRAYS HABOR, VANCE CREEK PARK, EMPLOYEES, VOLUNTEERS OR ANYONE ELSE INVOLVED IN THE ABOVE EVENTS. I HAVE TRAINED FOR THIS EVENT AND KNOW MY ENTRY IS NON-REFUNDABLE NO MATTER W HAT THE REASON AND I WILL NOT ASK FOR IT BACK. I HAVE NO MEDICAL CONDITIONS AND KNOW THE COURSE IS NOT CLOSED TO TRAFFIC. THE DECISION OF THE RACE DIRECTOR IS FINAL AND I WILL OBEY ALL RULES OF THE ROAD. I ALSO KNOW BY SIGNING THIS FORM, I'M WAIVING MY RIGHT TO SUE FOR ANY AND ALL REASONS, INCLUD ING BUT NOT LIMITED TO PERSONAL INJURY OR DEATH.
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Signature of Athlete Date (Signature of Parent or Guardian if under 18 years)