Huntsville
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Please note: For the safety of
all runners and due to liability insurance requirements the following are not
allowed during the race: strollers, baby joggers, skateboards, bicycles, animals,
roller blades, headphones, iPods, MP3 players, unauthorized vehicles, unentered runners, etc. Anyone violating this
policy will be DISQUALIFIED (not posting in results, no awards, not
refunds). Your cooperation is greatly
appreciated. |
PLEASE PRINT PLAINLY
Street_________________________________________________________________
AGE_______ Birthday _____/_____/_____
Mon Day
Year
City___________________________________
ST__________ ZIP_______________ HTC Member
Yes No
Phone_________________________
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.
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 and non-deferrable.
Signature:
_____________________________________________Date: _____________________
Parent/Guardian Signature if under
19:_________________________________________________________
Official Use
Only
Race Number Paid