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Arkansas 20K
MNB Arkansas Marathon
Entry Form
September 27, 2008 --
20K @ 7:30am, Marathon @ 6:30am --
Benton, AR |
Name:
Last:
First: |
Date of Birth:
Sex: M F |
Address: |
City, State, Zip: |
Shirt Size: M L
XL
Age on 9/27/2008: |
Circle One:
20K
Marathon |
Email:
Day Phone: |
Release:
I know that running and volunteering to work in club races are potentially hazardous
activities. I should not enter and run in this race unless I am medically able and
properly trained. I agree to abide by any decision of a race official relative to my
ability to safely complete the run. I assume all risks associated with running and
volunteering to work in club races including, but not limited to falls, contact with other
participants, the effects of the weather, including high heat and/or humidity, the
conditions of the road and traffic on the course, all such risks being known and
appreciated by me. Having read this waiver and knowing these facts, and in consideration
of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive
and release the Saline County Striders Road Runners Club, the City of Benton, the County
of Saline, ArkansasRunner.Com and all sponsors, their representatives and successors from all claims or
liabilities of any kind arising out of my participation in the race and/or club activities
even though liability may arise out of negligence or carelessness on the part of the
persons named in this waiver. I grant permission to all the foregoing to use any
photographs, motion pictures, recordings, or any other record of this event for any
legitimate purpose. |
Signature:
Date: |
Parent Signature if under 18 years:
Date: |
Make checks payable to Saline County Striders and mail to:
P. O. Box 866
Benton, AR 72018
|
20K Fees: $15 before
September 20, $20 after
Marathon Fees: $25 before September 20, $35 after
|
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