____________________ BIRTHDAY: ____/___/___/
AGE AS OF 2-21-04: _______________
M___/F___ SHIRT SIZE S__
ENTRY FEE: $30.00 PRIOR TO FEBRUARY 14, 2004, $40 THEREAFTER. SORRY, NO REFUNDS!!!!
RACEDAY SHIRT GUARNTEES UNTIL FEBRUARY 18.
OTHERS WILL BE MAILED.
RELEASE AND WAIVER
participate, I will accept all rules, conditions, and regulations and agree to
comply with them. The race
director(s) or designated personnel has the right to stop any participant who in
their opinion is not fit to continue. This
entry contains a release and waiver. Signing
does away with any claim of injury. No entry will be accepted without a signature.
In consideration of the acceptance of my entry, I for myself, my
executors, heirs, administrators, and assigns do hereby release and discharge
the “SYLAMORE TRAIL 50K”, all sponsors, and all volunteer groups or
individuals. I am physically fit
and sufficiently trained to participate in this endurance event and assume all
risk of participation. I understand
that some trails and roads may be open to traffic and I am responsible for my
PARENT OR GUARDIAN IF PARTICIPANT IS UNDER 18
CHECKS PAYABLE TO: SYLAMORE TRAIL
SIGNED APPLICATION TO: RANDY
20208 DWIGHT LITTLE ROAD
ROLAND, ARKANSAS 72135
EMAIL ADDRESS CHANGE!!!)
(NOTE EMAIL ADDRESS CHANGE!!!)
DAY OF RACE SIGNUP.