2008 Monte Sano 15K Entry Form Page
Please
clip out the entry form and mail with the appropriate fees. Please print
legibly and complete fully.
Incomplete or illegible applications may not be accepted. See you on race
day. Good luck.
Individual
Entry Form - Monte Sano 15K
Name: (first)_________________________(last)_____________________________
Male p
Female p
Address:
Phone:(____)________________ Age on
Race Day:________ Birthdate:___________
Email:__________________________________
Select T-Shirt Size (adult
sizes):
Sp Mp Lp XLp
Huntsville Track Club Member?
Yesp Nop
Race Waiver: I, individually, (and/or as parent,
and/or guardian of the named minor) for and in consideration of acceptance of
this entry in the aforementioned event, do hereby release, remise, waive, and
forever discharge the Road Runners Club of America, Huntsville Track Club and
any and all other supporting groups of this said racing event, together with
all their officers, agents, officials and employees, from any and all
liability, claims, demands, actions, or causes of action whatsoever arising out
of, or relating to any injury, illness, loss, or damage, including death,
relating to participation in the aforesaid event. I further state I am in
proper physical condition to participate in this event. In addition, I agree
that my participation in this event requires that I will not participate with
roller blades, baby joggers, skateboards, animals, headphones, or anything
which the race director deems dangerous to myself or
other participants and that the race director may remove me from this event for
a violation of said policy. I further grant permission to this race and
the organization conducting the race and/or agents authorized by them to use
any photographs, videotapes, motion picture, recordings and any other record of
this event for any purpose. I also agree that if the event is canceled
for any reason that all entry fees are non-refundable.
Signature:________________________________________________________
Date:______________
Must be signed by parent or guardian
if under age 19
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Mail application to:
Mike O'Melia
Hampton Cove, AL 35763
Make checks
payable to the