Entry Form
Halloween Marathon/Footraces & Triathlon/Duathlon & Kids mini-tri - October 12, 2008
Mail completed entry form and fee to: Halloween Marathon/Footraces & Triathlon/Duathlon & Kids mini-tri, @ 9435 180th Way Sw, Rochester, Wa 98579, Elma, WA
(Please print)

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

FEES: (Entries include T-shirt):

Marathon    (Before October 1)           $60.00  $ ______
Marathon    (Before October 12)          $65.00  $ ______
Marathon    Day of race                  $70.00  $ ______
Half-marathon (Before October 1)         $40.00  $ ______
Half-marathon (Before October 12)        $47.00  $ ______
Half-marathon Day of race                $50.00  $ ______
10 miles     (Before October 1)          $30.00  $ ______
10 miles     (Before October 12)         $35.00  $ ______
10 miles    Day of race                  $40.00  $ ______
10K ( 6.2 miles) (Before October 1)      $25.00  $ ______
10K              (Before October 12)     $30.00  $ ______
10K         Day of race                  $35.00  $ ______
5K ( 3.1 miles) (Before October 1)       $20.00  $ ______
5K              (Before October 12)      $25.00  $ ______
1 mile          (Before October 12)      $13.00  $ ______
1 mile day of race                       $15.00  $ ______
Triathlon       (Before October 1)       $45.00  $ ______
Triathlon       (Before October 12)      $50.00  $ ______
Triathlon 2/3 person team (Before Oct 12)$60.00  $ ______
Triathon  day of race                    $70.00  $ ______
Duathlon         (Before October 1)      $35.00  $ ______
Duathlon         (Before October 12)     $40.00  $ ______
Duathlon 2/3 person team (Before Oct. 12)$50.00  $ ______
Duathlon team day of race                $60.00  $ ______
Kids mini-tri (Before Oct. 12)           $18.00  $ ______
Kids mini-tri day of race                $20.00  $ ______
               Extra shortsleeve shirt    $7.00  $ ______
               Extra tank top            $10.00  $ ______
               Extra longsleeve shirt    $12.00  $ ______
               Upgrade to long sleeve     $8.00  $ ______
               Upgrade to sweatshirt     $10.00  $ ______


Adult S  M  L  XL   XXL
Child S  M  L  XL   XXL

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

Waiver I HEREBY RELEASE THE PUGET SOUND CRUISERS, CITY OF ELMA, COUNTY OF GRAYS HARBOR, STATE OF WASHINGTON, ANY VOLUNTEERS, EMPLOYEES AND ANY ONE ELSE INVOLDED IN THE ABOVE EVENTS. I KNOW BY SIGNING THIS FORM I'M WAVING MY RIGHT TO SUE FOR ANY AND ALL REASONS INCLUDING BU T NOT LIMITED TO PERSONAL INJURY OR DEATH. I HAVE TRAINED FOR THIS EVENT AND HAVE NO MEDICAL PROBLEMS AND KNOW THE POSSIBLIES OF INJURY. I ALSO KNOW MY ENTRY FEE IS NON-REFUNDABLE 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 360-273-9684 or wanttoduit@hotmail.com

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