Huckleberry Festival

Official 2008 Huckleberry Run Entry Form

Print Out and Mail this form and entry fee to: Carol Brooker, PO Box 794, Plains, Mt 59859

Full name:

Address:

City: State: Zip:

Phone: Age: DOB:mo/day/year Sex:

Tank-Tops available to Pre-Registered runners only.

Tank Tops Tank Top, Sm.
Tank Top, Med.
Tank Top, Lg.
Tank Top, X-Lg.

Youth T-Shirts Youth T-Shirt, Med.
Youth T-Shirt, Lg.

Adult T-Shirts T-Shirt Adult, Sm.
T-Shirt Adult, Med.
T-Shirt Adult, Lg.
T-Shirt Adult, X-Lg.

Race Starts Promptly at 8:30 am (Mountain Time) on Sat. Aug 9, 2008

RACE RELEASE: In consideration of acceptance of this race entry, I, for myself, my heirs, executors, administrators and assigns, forever release and discharge any and all rights, demands, claims for damages and causes of suit or action know or unknown, that I may have against Run For Fun and any and all participating race sponsors and their directors, officers, employees and agents of such parties, for any and all injuries in any manner arising or resulting from my participation in said race. I attest and verify that I have full knowledge of the risks involved in the race, that I assume those risks, that I will assume and pay my own medical and emergency expenses in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in this race.

Signature: ___________________________________________________________________

Signature of Parent/Guardian if under 18:__________________________________________________

Print Out and Mail this form and entry fee to: Carol Brooker, PO Box 794, Plains, Mt 59859
Entry Fee Before 8/1/08$12.00 Late Fee $14.00

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Full name:
Address:
City:	State:	Zip:
Phone:	Age:	DOB:mo/day/year	Sex:
Tank-Tops available to Pre-Registered runners only. Tank Tops Tank Top, Sm. Tank Top, Med. Tank Top, Lg. Tank Top, X-Lg. Youth T-Shirts Youth T-Shirt, Med. Youth T-Shirt, Lg. Adult T-Shirts T-Shirt Adult, Sm. T-Shirt Adult, Med. T-Shirt Adult, Lg. T-Shirt Adult, X-Lg.	Race Starts Promptly at 8:30 am (Mountain Time) on Sat. Aug 9, 2008 RACE RELEASE: In consideration of acceptance of this race entry, I, for myself, my heirs, executors, administrators and assigns, forever release and discharge any and all rights, demands, claims for damages and causes of suit or action know or unknown, that I may have against Run For Fun and any and all participating race sponsors and their directors, officers, employees and agents of such parties, for any and all injuries in any manner arising or resulting from my participation in said race. I attest and verify that I have full knowledge of the risks involved in the race, that I assume those risks, that I will assume and pay my own medical and emergency expenses in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in this race. Signature: ___________________________________________________________________ Signature of Parent/Guardian if under 18:__________________________________________________ Print Out and Mail this form and entry fee to: Carol Brooker, PO Box 794, Plains, Mt 59859 Entry Fee Before 8/1/08$12.00 Late Fee $14.00

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