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Hogeye Marathon, Half, 5K & Relays Entry Form
April 10, 2011 -- 7:30am (5K starts at 7:35am) --
Fayetteville, AR |
Name:
Last:
First: |
Date of Birth:
Sex: M F
Age on 4/10/11: |
Address: |
City, State, Zip: |
E-Mail: |
5K cotton shirt (men's
sizes):
XS S
M
L
XL
XXL (add $2)
Marathon/Half/Relay technical shirt: XS
S M
L XL XXL (add $2)
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Circle One:
Marathon Run Half-Marathon
5K
Marathon relays:
4-person relay: Male, Female or Mixed (2 male, 2 female) |
Fill out separate entry for all team members! Mail in same
envelope!
Relay or Corporate
Team Name(5K) and all team members: |
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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 Hogeye Marathon &
Relays, the city of
Fayetteville, 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: |
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Make checks payable to Hogeye Marathon and Relays,
P. O. Box 8012,
Fayetteville, AR 72703
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Fees:
Marathon: $75 by March 6, $85 by April
9, $95 day of race
Half Marathon: $55 by March 6, $65 by April 9, $75 day of race
5K: $25 by March 6, $30 by April 9, $35 day of race
Corporate 5K Challenge: $25 by March 6, $30 by April 9, No race day
registration
Relays: $30 per person by March 6, $40 per person by April 9, No
race day registration
For
information, call 479-445-9251, email
info@hogeyemarathon.com
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