2010 Winter Winds Road Races 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.
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Individual Entry Form - Winter
Name:
(first)_________________________(last)_____________________________
Male p Female p
Address:____________________________________________________________
City:_________________________
State:_________ Zip code:___________
Telephone:____________________ Age on
Race Day:________ Birthdate:___________
Please check if
appropriate: HTC Member p
Select T-Shirt Size (adult
sizes): Sp
Mp
Lp
XLp
Youth Mediump Youth Largep
Select Race Distance: 2 milep 4
milep Fun
runp
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
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