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/WALK


MAKE 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.

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


For more information call 360-482-1364 or jdbeeler@centurytel.net 


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