Entry Form for
the Rambling Rose Charity 5K Run & 1 Mile Fun Run
Make checks payable
to and mail to: Rambling Rose Charity Run,
Attention: KJG,
Fees:
Adults: Pre-registered: $13 (postmarked
by 10/27/07) Day of race: $16
15 & Under “ $10 (“”) “” $10
Last Name:______________________First
Name:_______________
Address:________________________________________________
City: ______________________________State:_____Zip________
Email Address:__________________________
Phone:__________________________
Date of Birth:__________________ Age________ Sex______
Please circle shirt size:
Youth M Youth L S
M L XL
XXL
Please circle event:
5K Run /Walk or 1Mile Fun Run
I know that running a
road race is a potentially hazardous activity that could cause injury or death.
I should not enter and run unless I am medically able and properly trained, and
by my signature, I certify that I am medically able to perform this event, am
in good health, and am properly trained. I agree to abide by any decision of a
race official relative to any aspect of my participation in this event,
including the right of any official to deny or suspend my participation for any
reason whatsoever. I assume all risks associated with running or walking in
this event, including but not limited to: falls, contact with other
participants, the effects of weather, including high heat and/or humidity,
traffic and the conditions of the road, all such risks being known and
appreciated by me. I understand that
bicycles, skateboards, baby joggers, roller skates or blades, animals, and
radio headsets are not allowed in the race and I will abide by this guideline.
Having read this waiver and knowing these facts and in consideration of your
accepting my entry, I, for myself and anyone entitled to act on my behalf,
waive and release the race organizers, the City of Thomasville and Clarke County,
and all sponsors, their representatives and successors from all claims or
liabilities of any kind arising out of my participation in this event, even
though that liability may arise out of negligence or carelessness on the part
of the persons named in this waiver.
Signature
____________________________________Date____________
(Parent/Guardian
must sign for applicants under 18)
Heat Warning:
WARNING If the weather is
unseasonably warm or cold, use the customary racing precautions with which you
should be familiar and take full advantage of water along the course. Stop
running and seek help if you stop sweating or feel nauseous or dizzy. ALSO, if
you see a fellow runner who appears to be in trouble, stop and help if you can.