Another
Dam 50K Run Entry Form 1 form per person –
photocopies OK
First Name Last
Name
Address
City State Zip Code
Age
on race day Sex
E-Mail
Shirt Size None Med. Large XL
Entry Fee $20 (no shirt) $25
(shirt)
All
finishers will receive a technical short sleeve shirt.
Finish
Shirt Size: Sm. Med. Large XL
Make
checks payable to:
Frank Fenton
PO Box 118
I understand that participating in this event is
potentially hazardous, and that I should not enter and participate unless I am
medically able and properly trained. In consideration of the acceptance of this
entry, I assume full and complete responsibility for any injury or accident
which may occur while I am traveling to or from the event, during the event, or
while I am on the premises of the event. I also am aware of and assume all
risks associated with participating in this event, including but not limited to
falls, contact with other participants, effect of weather, traffic, and
conditions of the road and trails. I, for myself and my heirs and executors,
hereby waive, release and forever discharge the event organizers, sponsors,
promoters, and each of their agents, representatives, successors and assigns,
and all other persons associated with the event, for my all liabilities,
claims, actions, or damages that I may have against them arising out of or in
any way connected with my participation in this event. I understand that this
waiver includes any claims, whether caused by negligence, the action or
inaction of any of the above parties, or otherwise.
I understand that the entry fee is non-refundable and non-transferable. I
hereby grant full permission to any and all of the above parties to use any
photographs, videotapes, motion pictures, website images, recordings or any
other record of this event.
Signature of participant
Signature of parent if under
18