Frosty Four Miler Entry for February 5, 2005

 

Make checks payable to:  Hard Core Runners Club

 

Mail entry forms and fees to:

Hard Core Runners Club

P.O. Box 1511

Yakima, Washington, 98907

 

Name __________________   ____________________  Age _____  Birthdate:  ___  ___  _____

              (last)                                   (first)                          (as of 2/5/05)                mo   day   year

 

Address _____________________________________  Phone _____________  Sex:  M  or  F

 

City  __________________________  State ____  Zip _________ Shirt Size:   S    M    L    XL

 

Registration Fee:  (Pre-Race deadline is January 28, 2005)

 

$15 Non-Member with Shirt  or $7 without shirt

$13 HCR’s Club Members with shirt or $6 without shirt

Day of Race:  $20 with shirt or $10 without shirt 

 

RELEASE. I know that running a road race is potentially hazardous activity. I should not enter and run unless I am medically able and property 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 in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic conditions of the road, 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 Hard Core Runners Club, its officers and agents, the American Association of Running Clubs, the City and County of Yakima and any and all participating race sponsors and the director, officers, employees and agents of such parties, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I understand that bicycles, skateboards, baby joggers, roller skates or inline skates, animals and radio headsets are not allowed in the race and I will abide by this guideline.

 

 

_________________________________                 __________________

Participants Signature                                                             Date

 

_________________________________                  __________________

Parent or guardian if participant is under 18                          Date

 

 

I would like to join the Hard Core Runners Club.  Membership is $15.00 per year.