Entry
Form Each
race limited to 100 runners - preference to runners entering multiple
races |
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Check race(s)* Entry Deadline O Saturday, August 21 (8am start time) Kading Campground - 7.3 miles 08/18/10 O Friday, September 24 (9pm start time) Tubbs Trailhead - 3.1 miles 09/21/10 O Sunday, October 10 (9am start time) Ridge Trailhead - 6.6 miles 10/10/10 O Sunday, October 17 (10 am start time) Elkhorn Retreat Run - 4 miles 10/17/10 *Distances are approximate |
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Registration Fees Runners who finish at least three races win a prize! |
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Name______________________________________________________Age on Race Day**______Sex____ Address______________________________________________________________________________________ City/State/Zip_______________________________________________________________________________ Phone_____________________________E-mail__________________________ **If your birthday falls during the series, please record your age on the day of the first race in the series you will be participating in. |
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Waiver: I understand that running is strenuous exercise. In signing, I give statement that I am in good health and that there is no medical reason that I should not attempt such a feat. I know that running on trails in the wilderness may pose many hazards, not limitied to: falls, bad weather, rockslides, wild animal attack, becoming lost, and generally dangerous conditions. I am entering this event with full knowledge that I could easily become hurt or face life-threatening injuries. I fully assume all risks of illness, injury or death and release covenant not to sue, and discharge the City of Helena, the race director and other agents from all actions, claims or demands for damages arising out of my participation in this event. The forgoing release is binding upon me personally and anyone else who may make claim upon my behalf. Signed_______________________________________________________________Date_____________ Signature of Parent or Guardian if applicant is under 18 ____________________________________________ |
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Make checks payable to: Brian Wieck Mail entry fee and signed form to: Brian Wieck/ 1815 Knight Street /Helena, MT/ 59601 Questions? Bquick50k@hotmail.com (406) 431-0697 |