7th Annual Leprechaun Chase 5K Trail Run 
(formerly the Flower Pot Trot)
March 21, 2009 * 9:00 am CST
Dothan, Alabama
Registration & Waiver Form

LOCATION: Westgate Park Trail. Register at Beauchamp Field across from the Tennis
                       Center.   Registration starts at 8 a.m. No pre-registration.

Entry Fee:  $10.  Note: Proceeds from this event will benefit the Dothan Area Botanical Garden's Spring
                    Plant Sale which will be held March 28.  For information on  joining the Gardens visit their
                    website at www.dabg.com or call 334-793-3224.

Awards: Overall male/female, Masters, Grand Masters and 3 deep in standard 5 year age groups and to first
               three male & female walkers.       

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly 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 weather, including high heat and/or humidity; traffic; and the 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 Dothan Runners Club, the City of Dothan, and all race sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the 2009 LEPRECHAUN CHASE 5K RUN.

Name: Address:

City:State: Zip: Phone:

Age: (on 3/21/09)  Date of Birth:     Email:

Select One:                   Select Sex

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