----------
Race for the Cross 5K/1K
August 2, 2008 -- 8:30am
-- Sheridan, AR |
Name:
Last:
First: |
Date of Birth:
Sex: M F
Age on 8/2/08: |
Address: |
City, State, Zip: |
Shirt Size: Adult
-- S
M L
XL XXL(+$2)
Youth --
S M L |
Division: 5K
Run/Walk 1K Fun
Run |
Phone:
Email: |
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 Race for the Cross
5K/1K, the Immanuel Baptist Church of Sheridan, the
City of Sheridan, 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 The Immanuel Baptist Church of
Sheridan and mail to:
206 East Holly Street
Sheridan, AR 72150
|
Fees:
Pre-registered postmarked by July 28, $25
After July 28 and day of race, $30
Extra race T-shirts will by sold for $10
For information:
Call 870-904-4707, 501-554-1035
Email dmartin@spp.org or
tmoseley03@hotmail.com
|
|
.gif)
