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2009 LAKE WOBEGON TRAIL MARATHON
REGISTRATION FORM Print
registration form, complete form, sign agreement and waiver and NAME: _______________________________________________________________________ BIRTHDATE: ___________ Age on race day: ______ You must be at least 18 years old to participate. GENDER: Male _______ Female _______ PREDICTED FINISH TIME: _____________ FIRST TIME MARATHONER: Yes________ No_________ EMAIL
ADDRESS: _______________________________________________________________
Please print email address clearly.
Registration confirmation will be emailed within 10 days of receipt
of registration and race instructions will be emailed to participants on
or before SHIRT SIZE: Small ______ Medium ______ Large ______ X-Large ______ Choice of shirt size is guaranteed only if registration is postmarked by April 16. AGREEMENT AND WAIVER (required for entry) The finish line will close after six hours. Water stations will close at intervals of 14 minutes per mile from the start. We do not want to leave runners unsupported on the course. Therefore, runners who are not able to maintain at least a 14 minute mile average pace will be transported to the finish line by volunteers from the next water station. If you do not know whether you will be able to maintain at least a 14 minute mile average pace throughout the race, then unfortunately this is not the race for you. Signature of this registration form indicates that you accept these terms. I understand and agree that my photograph may be displayed on the race website and used in race advertising or other materials. I know that running a marathon is a potentially hazardous activity. I should not run unless I am medically able and properly trained. I understand that there will not be any medical personnel on the course. I agree that a race volunteer may obtain medical assistance, including ambulance transportation to a medical facility, on my behalf and at my expense. I agree to abide by any decision of a race volunteer relative to my ability to safely complete the race. I assume all risks associated with running this event including but not limited to, traffic, weather, including high heat and humidity, and trail conditions. In consideration of the acceptance of my entry, I, for myself and anyone entitled to act on my behalf, waive and release any and all sponsors, race directors, volunteers, and others associated with the race from all claims of injury, illness, or damage or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence on the part of the persons named in this waiver. Participant signature: _______________________________________________________________ Date: ________________________
(This
document affects your legal rights. Read
it carefully) Participant Name:
____________________________________
Date: __________________ Address:
_________________________________________________________________________________________ In order to participate in
this activity, I agree to hold the I
understand and acknowledge that the activities I am about to voluntarily
engage in as a participant have certain risks. I
understand that these risks known or unknown, anticipated or unanticipated
may result in injury, death, illness, disease or damage to myself or my
property, or to other persons or their property. I
voluntarily agree and promise to accept
and assume all responsibilities, and injuries, death, illness, disease or
damage to myself or my property arising from my participation in this
activity. This
waiver does not apply to any injuries or damages that are the result of
willful, wanton, or intentional misconduct. I
am voluntarily participating in this activity with knowledge of the
dangers and risks involved, and no one is forcing me to
participate. I
understand that entering into and signing this agreement affects my legal
rights and results in my giving up or waiving certain legal rights and I
accept this and sign this agreement of my own free will.
My signature indicates
that I have read this entire document,
understand it completely, acknowledge that it cannot be modified or
changed in any way by oral representations, and agree to be bound
by its terms. This agreement
shall be binding on behalf of myself; my heirs, assigns, personal
representative and estate. Signature:___________________________________________
Date: ___________________ Participant must be at least 18 years old. |