ALLISON,
ARKANSAS
7:00
A.M. START
NAME:_____________________________________________________________________________________
LAST
FIRST
MIDDLE
ADDRESS:__________________________________________________________________________________________
P.O.BOX/STREET
CITY
STATE
ZIPCODE
TELEPHONE:
____________________ BIRTHDAY: ____/___/___/
AGE AS OF 2-21-04: _______________
SEX:
M___/F___ SHIRT SIZE S__
M__
L __
XL__
EMAIL
ADDRESS: ___________________________________________
ENTRY FEE: $30.00 PRIOR TO FEBRUARY 14, 2004, $40 THEREAFTER. SORRY, NO REFUNDS!!!!
RACEDAY SHIRT GUARNTEES UNTIL FEBRUARY 18.
OTHERS WILL BE MAILED.
RELEASE AND WAIVER
To
participate, I will accept all rules, conditions, and regulations and agree to
comply with them. The race
director(s) or designated personnel has the right to stop any participant who in
their opinion is not fit to continue. This
entry contains a release and waiver. Signing
does away with any claim of injury. No entry will be accepted without a signature.
In consideration of the acceptance of my entry, I for myself, my
executors, heirs, administrators, and assigns do hereby release and discharge
the “SYLAMORE TRAIL 50K”, all sponsors, and all volunteer groups or
individuals. I am physically fit
and sufficiently trained to participate in this endurance event and assume all
risk of participation. I understand
that some trails and roads may be open to traffic and I am responsible for my
safety.
PARENT OR GUARDIAN IF PARTICIPANT IS UNDER 18
MAKE
CHECKS PAYABLE TO: SYLAMORE TRAIL
50K
RETURN
SIGNED APPLICATION TO: RANDY
DAVIDSON
20208 DWIGHT LITTLE ROAD
ROLAND, ARKANSAS 72135
QUESTIONS?
EMAIL SYLAMORE50K@AOL.COM
(PREFERRED)
OR
CALL 501-868-5555
NO
DAY OF RACE SIGNUP.