2011 Huntsville Half Marathon 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.

Individual Entry Form

Name: (first)_________________________(last)_____________________________        
Age on Race Date:________        Birthdate:___________

Address:____________________________________________________________
City:_________________________        State:_________        Zip code:___________
Telephone:____________________       

Please check if appropriate:        HTC Member p

Male p Female p

Select Shirt Size (adult sizes):     Sp Mp Lp XLp

o By checking the box to the left I agree that my participation in this event requires that I will not participate with roller blades, baby joggers, skateboards, animals, headphones, iPods, MP3 players or anything which the race director deems dangerous to myself or other participants and that the race director may disqualify me from this event for a violation of said policy.

ALL ENTRY FEES ARE NON-REFUNDABLE AND ENTRY IS NON-TRANSFERABLE

HEADPHONES ARE NOT ALLOWED AND THEIR USE WILL RESULT IN DISQUALIFICATION (No listing in results, no awards, no refunds)

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 all entry fees are non-refundable and that this entry is non-transferable.

Signature:________________________________________________________        Date:___________

Parent/Guardian if under age 19

Please send completed entry forms to:

Mail application to: HTC Half-Marathon
1304 Hearthwood Circle, Huntsville, AL 35803

Please make check payable to the Huntsville Track Club

Race Fees:

Early registration until September 1, 2011 - $20

September 2 through October 1, 2011 - $30

October 2 through November 10 - $40

No registration on November 11 or on race day