Twin Cities Race Walkers - 2008 Entry Form

Name                                                                                
Age          

Sex

            
Phone  
Email  
Address  
City  

State

 

ZIP

 
USATF #          
           
Race Day Max Time Max Distance Elected Distance Race Walk

Run or Walk

  Fees Paid
April 12 ¾ hr 5km     $10 for 1km to 10km  
May 18 ¾ hrs 5km     $10 for 1hr  
July 19 1½ hrs 10km     $35 for 11km or more  
September 13 1 hr n/a     $2 off for TCRW members  
October 12 ¾ hrs 5km        
November 8 ¾ hrs 5km    

Total Paid

 
Mail check and this form to Twin Cities Race Walkers

638 Summit Ave

St. Paul, MN 55105-3435

 

Release and Waiver:  I know that walking is a potentially hazardous activity. I should not register for any walking events in the 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, USATF, 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. I have read the foregoing and certify my agreement by my signature below.

Video & Picture Release: The undersigned further grants full permission to Twin Cities Race Walkers, USATF/MN, USATF, 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)

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Date