Entry Form
Valentine Marathon, half-marathon, 10 miles, 10K, 5K, 1 mile & duathlon - February 10, 2008
Mail completed entry form and fee to:
Valentine Marathon, half-marathon, 10 miles, 10K, 5K, 1 mile & duathlon, @ 9435 180th Way SW, Rochester, Wa 98579, Olympia, 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 January 20) $65.00 $ ______
Marathon (Before February 1) $67.00 $ ______
Marathon (Before February 10) $70.00 $ ______
Marathon Day of race $75.00 $ ______
Half-marathon (Before January 20) $40.00 $ ______
Half-marathon (Before February 1) $42.00 $ ______
Half-marathon (Before February 10) $45.00 $ ______
Half-marathon Day of race $50.00 $ ______
10 Miles (Before February 10) $35.00 $ ______
10 Miles Day of race $40.00 $ ______
10K (6.2 miles) (Before February 10) $30.00 $ ______
10K Day of race $35.00 $ ______
5K (3.1 miles) (Before February 10) $25.00 $ ______
5K day of race $30.00 $ ______
1 mile (Before February 10) $15.00 $ ______
1 mile day of race $18.00 $ ______
Duathlon (Before February 10) $30.00 $ ______
Duathlon day of race $35.00 $ ______
Duathlon 2/3 person team day of race $50.00 $ ______
No t-shirt option -$5.00 $ ______
marathon maniacs # _______ -$10.00 $ ______
Extra short sleeve shirt $7.00 $
Extra long sleeve shirt $12.00 $ ______
Extra sweat shirt $18.00 $ ______
Upgrade to longsleeve $8.00 $ ______
Upgrade to sweatshirt $12.00 $ ______
T-shirt Size (circle one):
Adult S M L XL XXL
Child S M L XL XXL
TOTAL ENCLOSED $_______
MAKE CHECK PAYABLE TO: Kristina Salazar, 9435 180th Way, Sw. Rochester, Wa 98579
Waiver I HEREBY RELEASE THE PUGET SOUND CRUISERS, MILLERSLVANIA STATE PARK, THURSTON COUNTY, STATE OF WASHINGTON AND ANYONE ELSE INVOLVED IN THE ABOVE EVENTS. I KNOW BY SIGNING THIS FORM I'M WAIVING MY RIGHT TO SUE FOR ANY ANY ALL REASONS, INCLUDING BUT NOT LIMITED TO PERS ONAL INJURY AND DEATH. I ALSO KNOW MY ENTRY FEE IS NON-REFUNDABLE, NO MATTER WHAT THE REASON EVEN IF THE EVENT IS CANCELLED OR POSTPONED. I WILL NOT ASK FOR IT BACK FOR ANY REASON. I HAVE TRAINED FOR THIS EVENT AND I HAVE NO MEDICAL PROBLEMS. THE DECISION OF THE RACE DIRECTOR IS FINAL!!
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Signature of Athlete Date (Signature of Parent or Guardian if under 18 years)
