IMPORTANT: Entry only allowed on Active.com through 5/10/10. You may register at Mount Rogers Outfitters on Friday evening, May 14 (1:00pm - 5:00pm)and Saturday morning May 15 (6:30am - 8:00am). The first 60 preregistered runners are guaranteed a Mountain Hardwear shirt. |
| Pre-registration: (ends 05/10/2010) |
$40.00 | | Regular | Registration: |
$40.00 - 1/2 Marathon |
| Entry only allowed on Active.com through 5/10/10. You may register at Mount Rogers Outfitters on Friday evening, May 14 (1:00pm - 5:00pm)and Saturday morning May 15 (6:30am - 8:00am). The first 60 preregistered runners are guaranteed a Mountain Hard |
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact Nick Whited (304)-920-0339 | Trail Days 1/2 marathon Male & Female Awards: Overall (top 3) Top Masters Top GrandMasters Top Sen.GrMasters Age Groups (top 2) ...19,20-29,30-39,40-49,50-59,60... |
| LAST NAME__________________________________ FIRST NAME_________________________ M.I._______ |
SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________ |
ADDRESS___________________________________________________________________________ |
CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________ |
RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________ |
*** CIRCLE SHIRT SIZE: SM, MD, LG, XL, |
|
IN CONSIDERATION FOR ACCEPTING MY ENTRY IN THIS RACE, I FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE FOREVER ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE ORGANIZERS AND SPONSORS OF THIS EVENT. I ALSO RELEASE THE ABOVE NAMED FOR ALL CLAIMS OF DAMAGE DEMANDS, AND ACTIONS IN ANY MANNER DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH SUSTAINED AS A RESULT OF MY TRAVELING TO AND FROM AND MY PARTICIPATION IN SAID RACE. I ATTEST AND VERIFY THAT I AM PHYSICALLY FIT AND HAVE SUFFICIENTLY TRAINED FOR THE COMPETITION OF THIS EVENT. IN FILLING OUT THIS FORM, I ACKNOWLEDGE I HAVE READ AND FULLY UNDERSTAND MY OWN LIABILITY AND ABILITY. |
|
SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |