 Run On! Marathon/Half Marathon
Registration Form
Check One
Early Marathon:
Late Marathon:
Spring Marathon:
|
Half Marathon
_____
Half Marathon _____
Half Marathon _____
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Marathon _____
Marathon _____
Marathon _____
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Adv Marathon _____ |
NAME:
__________________________________________________________
ADDRESS: ______________________________________________________
CITY: ________________________ STATE: _____ ZIP: __________________
AGE: _________ DATE OF BIRTH: _______________ SEX: ______________
E-MAIL: _________________________________________________________
EMERGENCY CONTACT:
__________________________________________
CURRENT Running PROGRAM:
Weekly Mileage: _________
Marathons Completed:_______ Current 5K Time Estimate: _________
Marathon/Half Marathon Time Goal?:
yes time:___________ no
time goal
Goal race: __________________
T-SHIRT SIZE: Women's ___ Sm
___Med
___Lg
Men's ___ Sm
___Med
___Lg ___XLg
Program Fees are not refundable.
Fees include entries for Too Hot To Handle or Too Cold To Hold. Other race
entries are not included.
PAYMENT BY: __ Cash __Check
(to RunOn!) __Visa __MasterCard __ Discover __American Express
Card/Check#
_________________________________________ Expiration Date: __________
WAIVER: I know that running and participating in this program is potentially
hazardous. I should not enter and run in this program unless I am medically and
properly trained. I agree to abide by any decision of a program official relative to
my ability to safely complete this program. I assume all risks associated with
running and training in this program including, but not limited to falls, contact with
other participants, effects of the weather including high heat and humidity, the condition
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
acceptance off my entry, I for myself or anyone entitled to act on my behalf, waive and
release RUN ON!, all sponsors, and any individual or group associated with this
program from all claims and liabilities of any kind arising out of my participation in
this program even though that 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, verbal or written statements, or any
other record of the program for any legitimate use.
___________________________________________________
___________________________
SIGNATURE
DATE
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