Entry Form
February Frenzy Half-Marathon, 10 Miles, 10K, 5K, 1 Miles & Sprint Duathlon - February 26, 2006
Mail completed entry form and fee to: February Frenzy Half-Marathon, 10 Miles, 10K, 5K, 1 Miles & Sprint Duathlon, @ 9435 180th Way Sw, Rochester, WA 98579
(Please print)

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

FEES: (Entries include T-shirt):

Half-Marathon   (Before January 18)     $25.00  $ ______
Half-Marathon   (Before February 1)     $30.00  $ ______
Half-Marathon   (Before February 9)     $35.00  $ ______
Half-Marathon   (Before February 17)    $37.00  $ ______
Half-Marathon   (Before February 26)    $40.00  $ ______
Half-Marathon   Day of race             $45.00  $ ______
10 Miles        (Before February 1)     $20.00  $ ______
10 Miles        (Before February 17)    $25.00  $ ______
10 Miles        (Before February 26)    $30.00  $ ______
10 Miles        Day of race             $35.00  $ ______
10K (6.2 Miles) (Before February 1)     $18.00  $ ______
10K             (Before February 17)    $20.00  $ ______
10K             (Before February 26)    $25.00  $ ______
10K             Day of race             $30.00  $ ______
5K (3.1 Miles)  (Before February 1)     $15.00  $ ______
5K              (Before February 17)    $18.00  $ ______
5K              (Before February 26)    $20.00  $ ______
5K              Day of race             $25.00  $ ______
1 Mile          (Before February 26)    $11.00  $ ______
1 Mile          Day of race             $14.00  $ ______
Duathlon Individual (Before Jan. 20)    $20.00  $ ______
Duathlon        (Before February 1)     $23.00  $ ______
Duathlon        (Before February 26)    $25.00  $ ______
Duathlon        Day of race             $30.00  $ ______
Duathlon 2/3 person team (Before Feb.26)$30.00  $ ______
Duathlon 2/3 person team Day of race    $35.00  $ ______
                     No t-shirt option  -$5.00  $ ______
               Extra short sleeve shirt  $7.00  $ ______
               Extra long sleeve shirt  $12.00  $ ______
               Extra long sweatshirt    $18.00  $ ______
            Upgrade to longsleeve shirt  $7.00  $ ______
            Upgrade to long sweatshirt  $12.00  $ ______


TOTAL ENCLOSED                                  $ ______


T-shirt Size (circle one): 
Adult 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 CRUISERS, THE STATE OF WASHINGTON, COUNTY OF THURSTON, CITY OF TUMWATER, MILLERSLYVANIA STATE PARK AND ANY AND ALL PERSONS HELPING TO PUT ON THIS EVENT. I KNOW BY SIGNING THIS FORM I AM WAIVING MY RIGHTS TO SUE FOR ANY AND ALL REASONS. I KNOW THE RISKS INVOLVED IN A RACE LIKE THIS, INCLUDING BUT NOT LIMITED TO PERSONAL INURY OR DEATH. I HAVE TRAINED FOR THIS EVENT AND HAVE NO MEDICAL PROBLEMS. I KNOW MY ENTRY FEE IS NON-REFUNDABLE NO MATTER WHAT THE REASON AND I WILL NOT ASK FOR IT BACK. I KNOW 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 360-273-9684 or email

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