2008 Fund Run - 8K 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.
------------------------------------------------------------cut
here-----------------------------------------------------------------------
Individual Entry Form - Fund Run - 8K
Name:
(first)_________________________(last)_____________________________
Male p
Female p
Address:____________________________________________________________
City:_________________________
State:_________ Zip code:___________
Telephone:____________________ Age on
4/5/08:________ Birthdate:___________
T-shirt size: M p Large p XL p
Please check if appropriate: HTC Member p
In addition to my $10 or $15 entry fee, I have included a $___________ donation to the HTC Scholarship Fund. (Optional)
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 and this entry is non-transferbale.
Signature:________________________________________
Date:______________
Parent/Guardian if under age 19
Mail application, entry fee and any Scholarship Fund donation to:
Tab
Barnett
307 Westchester St.
Huntsville, Al 35801
Make checks payable to The Fund Run.
--------------------------------------------------------------------------------cut
here--------------------------------------------------------------------------------------------------
Return to
Fund Run 8K Information Page