Twin Cities Race Walkers - 2006 Entry Form

Name                                                                                
Age          

Sex

            
Phone  
Email  
Address  
City  

State

 

ZIP

 
Race Day Circle the Distance Entered Max Time

You may enter only one distance a day.

 

You must be able to complete that distance within that day's

 

 Max Time.

April 15 5km         ¾ hr
May 13 1hr         1 hr
July 8 5km 10km       1½ hrs
July 30 5km         ¾ hr
September 15 5km 10km 15km 20km   3 hrs
October 14 5km 10km 15km 20km 25km 8 hrs
30km 35km 40km 45km 50km
November 18 5km 10km       1½ hrs
$10 for 5km-20km Mail Check and This Form

5 days prior to event to

Twin Cities Race Walkers

638 Summit Ave

St. Paul, MN 55105-3435

$20 for 25km-50km
$1 off for USATF members

Release and Waiver:  I know that walking is a potentially hazardous activity. I should not register for any walking events in the 2006 Twin Cities Race Walking Series unless I am medically able and properly trained. I assume any and all risks associated with walking during this event including but not limited to falls, contact with other participants, contact with other users of the multi-use path, the effects of weather, including high heat and/or humidity and the conditions of the walking surface, all risks being known and appreciated by me. Knowing these facts, and in consideration with your acceptance of my entry fee, I hereby for myself, my executors, administrators or anyone else who might claim on my behalf, covenant not to sue and waive, release and discharge any organization associated with Twin Cities Race Walkers, USATF/MN, and the local government and police, and volunteers and any and all sponsors including their agents, employees, assigns or anyone acting for or on their behalf, from any and all claims for liability for death, personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participation in these walking events. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to Twin Cities Race Walkers, USATF/MN and agents authorized by them to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. I have read the foregoing and certify my agreement by my signature below.

__________________________________________
Signature (Parent signature if under 18 years old)

____________
Date