SUPER HEROES 5K Trail Run

Each Participant must complete a form

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 the 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 the consideration of you accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release  the Dothan Runner's 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 2011 SUPER HEROES 5K TRAIL RUN.
Fill out the form then print out your registration form & bring with you.  Race day registration only.

Name:Address:

 

City: State:   Phone:Age:    Sex: Female Male
                                                                                                     (Age on 10/8/11)

 

Select Race: Run Walk   ____  Walk ____  Email            

 

ENTRY FEE IS $10.

 

 

Signature____________________________________________Date__________

Race day registration only.  Print out form and bring it with you for faster registration.

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