Kiutus Jim Endurance Run

White Swan, Washington

July 4, 2008

Registration 7:00 A.M.

8:00 A.M. Race Start Time

White Swan Longhouse

8 & 13 Km Run and 2 Mile Fun Run/Walk

Entry forms also available at Yakama Nation Agency Billboard, YMCA, and YAKAMART

Entry fees: $9 Club Members $11 early registration – by June 30 $14 late/DOR.

Information: Robert Jim at 509.945.6173

Mail Entry Form & Fee to: ROBERT JIM, POB 454, WHITE SWAN, WA., 98952

Entry Form – KIUTUS JIM ENDURANCE RUN – JULY 4^th

Name: ____________________________ Age _______ Male _____ Female _____

Address: __________________________________________

Entry Fee: ____$9 XRC ____$11 Early Reg. ____ $14 Late/DOR

DISTANCE: _____ 8K ______ 13K _____ 2 Mile

SHIRT SIZE: ____ Medium ____ Large ____ X-large ____ No shirt

Shirts Available to Preregistered. Day of: First Come First Served-will order if shirt size is not available.

In consideration of the acceptance of my entry, I waive and release any and all claims against the promoters and sponsors of the Kiutus Jim Run. For All Damages/injuries in any manner by participating at my own risks.

Signature: _______________________ Date _________________

Parental Consent Signature: _______________________ (For under 18 years of age)