Entry Form
Run From The Law - August 30,2008
Mail completed entry form and fee to:
Run From The Law, @ Po Box 400 Elma,WA 98541, Elma Washington
(Please print)
Name (first) (last) |__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__| Address |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| City State Zip |__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|__|__|__|__| Phone Sex Age on Race Day |__|__|__| |__|__|__| |__|__|__|__| M F |__|__| FEES: (T-Shirts $ 7.00 extra ): FEES: BEFORE August 22 10 K $12.00 $ ______ 5 K $10.00 $ ______ 1 mile $ 8.00 $ ______ FEE: AFTER August 22 10 K $15.00 $ ______ 5 K $12.00 $ ______ 1 Mile $10.00 $ ______ TOTAL ENCLOSED $ ______ T-shirt Size (circle one): Adult S M L XL Child L PLEASE CHECK: ___10K RUN ___5K RUN/WALK ___1 MILE RUN/WALKMAKE CHECK PAYABLE TO: Elma Cross Country Po Box 400 Elma,Wa 98541
Waiver Waiver.I, the undresigned being appraised of the condition of this race assume all risks incident my participation. I do hereby, for myself, my heirs, excutors, and administrators waive, release, forever discharge Elma Cross Country Booster Club, all municipal agenc ies and municipalities whose property and/or personnel are used and any other sponsoring agency (ies) or individual (s), and all race officials from any and/all claims, demands, actions or causes or actions incident to my participation in "Run from the law" August 30.2008, I clerify that I am in good physical condition and am able to safely compete in the entered events.
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Signature of Athlete Date (Signature of Parent or Guardian if under 18 years)
