Entry Form
Santa Marathon, Half-marathon, Footraces & Duathlon - December 19, 2009
Mail completed entry form and fee to: Santa Marathon, Half-marathon, Footraces & Duathlon, @ 9435 180th Way SW, Rochester, WA 98579, Rochester, 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 November 1)        $65.00  $ ______
Marathon (Before December 1)        $70.00  $ ______
Marathon (Before December 19)       $72.00  $ ______
Marathon day of race                $75.00  $ ______
Half-marathon (Before November 1)   $40.00  $ ______
Half-marathon (Before December 1)   $42.00  $ ______
Half-marathon (Before December 19)  $44.00  $ ______
Half-marathon day of race           $45.00  $ ______
10 Miles (Before December 19)       $30.00  $ ______
10 Miles day of race                $35.00  $ ______
10K (6.2 miles)(December 19)        $25.00  $ ______
10K day of race                     $30.00  $ ______
5K (3.1 miles) (December 19)        $22.00  $ ______
5K day of race                      $25.00  $ ______
1 mile (December 19)                $15.00  $ ______
1 mile day of race                  $18.00  $ ______
Duathlon (Before November 1)        $22.00  $ ______
Duathlon (Before December 1)        $25.00  $ ______
Duathlon (Before December 19)       $30.00  $ ______
Duathlon day of race                $35.00  $ ______
Kids mini-du (Before December 19)   $18.00  $ ______
Kids mini-du day of race            $20.00  $ ______
           Marathon Maniacs #_____ -$10.00  $ ______
           Extra short sleeve shirt  $8.00  $ ______
           Tank Top                 $10.00  $ ______
           Longsleeve shirt         $15.00  $ ______
           Sweatshirt longsleeve    $20.00  $ ______
           Sweatshirt Hooded        $25.00  $ ______
                        Santa Hat    $7.00  $ ______   
                        No t-shirt  -$5.00  $ ______

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

TOTAL ENCLOSED                              $ ______

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

Waiver I HEREBY RELEASE THE THURSTON COUNTY MULTI-SPORT CLUB, SWEDE HALL, THURSTON COUNTY, CITY OF ROCHESTER, EMPLOYEES, VOLUNTEERS, AND ANYONE ELSE INVOLDED IN THE ABOVE EVENTS. I KNOW BY SIGNING THIS FORM I'M WAIVING MY RIGHT TO SUE FOR ANY AND ALL REASONS, INCLUDING BUT NOT LIMITED TO PERSONAL INJURY OR DEATH. I HAVE TRAINED FOR THIS EVENT AND HAVE NO MEDICAL CONDITIONS. I KNOW THE HAZARDS OF THIS EVENT AND WILL TAKE RESPONSIBLY FOR MY OWN SAFETY. I ALSO KNOW MY ENTRY FEE IS NON-REFUNDABLE NO MATTER WHAT THE REASON. I WILL NOT ASK FOR IT BACK FOR ANY REASON. 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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