NAME_________________________________________ AGE____ GENDER____

ADDRESS_________________________________________________________________

       _________________________________________________________________

E-MAIL_________________________________________

I am registering for:
    ___MARATHON ($35)
    ___TRIPLE CROWN (1/2Mar+10K+5K) INDIVIDUAL ($40)
    ___TRIPLE CROWN TEAM ($45 for 3 runners; provide team info below)
    ___1/2 MARATHON ($20)
    ___10K ($15)
    ___5K RUN ($10)
    ___5K WALK ($10)
 

TRIPLE CROWN TEAM INFORMATION:   AWE-INSPIRING TEAM NAME______________________________________   TEAM CATEGORY: ___OPEN   ___WOMEN   ___MASTERS (40+)   ___CORPORATE   1/2-MAR RUNNER NAME_________________________________ AGE___ GENDER___   Address______________________________________________________________   E-Mail_________________________________________   10K RUNNER NAME_____________________________________ AGE___ GENDER___   Address______________________________________________________________   E-Mail_________________________________________   5K RUNNER NAME______________________________________ AGE___ GENDER___   Address______________________________________________________________   E-Mail_________________________________________   (Team runners must be registered for specific races, and are   eligible for individual race awards too.)

100% cotton RUNNIN' DAWG T-SHIRTS are an additional $10 each.
Please specify quantities and add to registration fee payment.
(We will have very few extra shirts to sell on race day.)
     ___ MEDIUMS
     ___ LARGES
     ___ EXTRA-LARGES

Race registration includes free post-race refreshments and Survivors'
BBQ for all runners and race volunteers, commemmorative coffee mugs
for all marathon, all Triple Crown and first 100 Half-Marathon finishers.

To register for this event, you must read and agree to the following WAIVER OF LIABILITY: I recognize the risks of injury inherent in this event.  In consideration of this entry being accepted, I hereby release any and all rights I may have against any and all persons and organizations involved in this event for any and all injuries I may suffer as a consequence of participating in it. I verify that I am physically fit and have trained sufficiently for this event, and if I get hurt in any way, it's entirely my own fault! I understand that the volunteer aid/traffic control stations will close at noon, five hours after the start of the marathon, and if I have not completed the course by that time I will thenceforth WALK all road crossings, and I will be responsible for getting myself to the race finish without further direction or assistance from any race volunteer or official.  In plain English, if I injure my body or self-esteem in any way as a result of participating in this event, it's entirely my own fault and I won't blame anyone else. Race director has the right to refuse any entry.  No refunds. By my signature below, I attest that I have read and fully understand these terms:

SIGNATURE(S) ____________________________________________________________ 
  (parent's signature if under 18; TEAMS: all team members must sign.)