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35th Great Cross Country 4M
Entry Form
May 19, 2012 --
10:00am --
Pinnacle Mountain State Park, Little Rock, AR |
Name:
Last:
First: |
Date of Birth:
Sex: M F
Age on 5/19/12: |
Address: |
City, State, Zip: |
Shirt Size:
Adult --
S
M
L
XL
XXL |
Standard 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 Great Cross Country
Race, the Little Rock Hash House Harriers, 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. |
Hash Release:
I understand
that running is an inherently dangerous activity and that running with the
Hash is tantamount to suicide. I do therefore hereby promise not to
blame the Little Rock Hash House Harriers for any injuries, deaths, debts,
pregnancies or anything else that may happen to me as a result of my
participation in this event. In other words, if I get hurt, it's my
own stupid fault. |
Signature:
Date: |
Parent Signature if under 18 years:
Date: |
|
Make checks payable to Little Rock Hash House
Harriers and mail to:
Basil Julian, 2115 Lookout Avenue, Conway, AR
72034
|
Fees:
$20 before May 15, $25 after May 15 and day
of race
For
more details,
email
littlerockhash@yahoo.com or call
501-336-5959
|
|
The race will cover 4 miles (Give or take a few miles) along wooded
trails, and also includes numerous “shortcuts”. Each “shortcut” is
guaranteed to save you distance. (Note: there are no other guarantees.) |
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