Entry Form
Easter Marathon, Footraces, Duathlon & Kids Mini-Du - April 3, 2010
Mail completed entry form and fee to: Easter Marathon, Footraces, Duathlon & Kids Mini-Du, @ 9435 180th Way Sw, Rochester, WA 98579, Rochester, WA
(Please print)

Name (first)                           (last)
|__|__|__|__|__|__|__|__|__|__|__|__|  |__|__|__|__|__|__|__|__|__|__|__|__|
Address
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
City                                   State         Zip
|__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|__|__|__|__|
Phone                                      Sex        Age on Race Day
|__|__|__| |__|__|__| |__|__|__|__|       M    F         |__|__|

FEES: (You must order a shirt to get one):

Marathon (Before March 7)         $60.00  $ ______
Marathon (Before March 20)        $62.00  $ ______
Marathon (Before March 30         $65.00  $ ______
Marathon (Before April 3)         $70.00  $ ______
Marathon day of race              $75.00  $ ______
Half-marathon (Before March 20    $38.00  $ ______
Half-marathon (Before April 3)    $40.00  $ ______
Half-marathon day of race         $45.00  $ ______
10 miles (Before April 3)         $30.00  $ ______
10 miles day of race              $35.00  $ ______
10K (6.2 miles)(Before March 20)  $22.00  $ ______
10K            (Before April 3)   $25.00  $ ______
10K day of race                   $30.00  $ ______
5K  (3.1 miles)(Before March 20)  $20.00  $ ______
5K             (Before April 3)   $22.00  $ ______
5K day of race                    $25.00  $ ______
1 mile  (Before April 3)          $15.00  $ ______
1 mile day of race                $18.00  $ ______
Duathlon (Before March 20)        $25.00  $ ______
Duathlon (Before April 3)         $27.00  $ ______ 
Duathlon day of race              $30.00  $ ______
Kids mini-du (Before April 3)     $15.00  $ ______
Kids mini-du day of race          $18.00  $ ______
Marathon maniacs # ____          -$10.00  $ ______
Half-marathon maniacs     # ____  -$5.00  $ ______
Short sleeve shirt Quantity ____   $5.00  $ ______
Long sleeve shirt  Quantity ____  $10.00  $ ______      
Long sleeve sweatshirt Quan ____  $15.00  $ ______
Hooded sweatshirt  Quantity ____  $18.00  $ ______
TOTAL ENCLOSED                            $ ______
I will be starting the marathon at 9:30 a.m.______

T-shirt Size (circle one): 
Adult S  M  L  XL   XXL
Child S  M  L  XL   XXL

MAKE CHECK PAYABLE TO: Kristina Salazar, 9435 180th Way sw, Rochester, WA 98579

Waiver I HEREBY RELEASE THE PUGET SOUND CRUSIERS, SWEDE HALL THURSTON COUNTY, CITY OF ROCHESTER, STATE OF WASHINGTON, ANY EMPLOYEES OR VOLUNTEERS INVOLVED IN ANY IF THE ABOVE EVENTS. I KNOW BY SIGNING THIS FORM, I'M WAIVING MY RIGHTS TO SUE FOR ANY AND ALL REASONS, INCLUDI NG BUT NOT LIMITED TO PERSONAL INJURY OR DEATH. I HAVE TRAINED FOR THIS EVENT AND HAVE NO MEDICAL PROBLEMS. I KNOW MY ENTRY IS NON-REFUNDABLE NO MATTER WHAT THE REASON AND I WILL NOT ASK FOR IT BACK. THE DECISION OF THE RACE DIRECTOR IS FINAL.

__________________________________________________________________
Signature of Athlete Date (Signature of Parent or Guardian if under 18 years)

For more information call 360-480-5981 or wanttoduit@hotmail.com

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