Name
Team Name:   Required Field

First Name:    Last Name:   Age: :
Sex:        Male Female
Shirt Size: Medium Small Large XLarge XXLarge

Signature of Participant or parent if under 18:_______________________________________________________________

First Name :    Last Name:   Age: :
Sex:        Male Female
Shirt Size: Medium Small Large XLarge XXLarge

Signature of Participant or parent if under 18:_______________________________________________________________


First Name     Last Name:  Age: :
Sex:        Male Female        
Shirt Size: Medium Small Large XLarge XXLarge

Signature of Participant or parent if under 18:_______________________________________________________________

  
First Name:      Last Name: Age: :
Sex:        Male Female
Shirt Size: Medium Small Large XLarge XXLarge
Signature of Participant or parent if under 18:_______________________________________________________________

Team captain address :
 Name:    
Street:     City:  
State:       Zip Code:
Phone: 
Email:   

Age Group * combined ages: 76 and under 240 and up Open Class Choose a Class 77 thru 119 120 thru 159 160 thru 199 200 thru 239
postmarked by July 20, 2008	$80
After July 20,2008	$100

Release and Waiver Statement (must be signed) I have read all information and understand the description of the event. I know that running and walking a road race can potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my my ability to safely complete this event. I also know that while police protection will be provided, there may still be traffic on the course. I assume all risks associated with my voluntary participation in this event, including, but not limited to, falls, contact with other participants, effects of the weather, including extreme cold,ice , snow, heat, traffic, and all conditions of the road, all such risks to be known and appreciated by me. I agree that failure to return the Champion Chip at the conclusion of the race will result in a $30 fee. Knowing these facts, and in consideration of your accepting my entry, I for myself, my heirs, executors administrators, or anyone else who might claim on behalf, covenant not to sue and waive, release, and discharge  Runners Forum of Carmel Inc., The EndResult Co. Inc., Carmel Police Dept., Carmel Fire Dept, Carmel Dept of Works, City of Carmel, Carmel Parks Dept, race officials, workers or volunteers, their representatives, successors or assigns for ANY AND ALL claims or liability, whether foreseen or unforeseen, for death, personal injury or property damage arising out of, or in the course of my participation in this event.

The above release has been read by all participants and by signing the above entry form I understand and agree with all terms of the waiver statement:

To Pay by Check:
Fill out form in full, print and sign entry form, and then mail form and check or money order payable to The Runners Forum to:
42K Relay
c/o Runners Forum
620 Station Drive
Carmel, IN 46032
Must be received by July 20, 2008

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