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.