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Saturday, December 16, 2000 -- Kanawha State Forest, WV
Snowflake 50K Trail Run

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Please make checks payable to: M.J. Jones

Mail entry forms to: Trail Ultra-Runners Unlimited of WV
P.O. Box 869
Institute, WV 25112

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2000 SNOWFLAKE 50K ENTRY FORM 

   
your e-mail address:____________________________________________

NAME_________________________________________________ SEX ______

ADDRESS ________________________________________________________

CITY____________________ STATE_____ ZIP ________________________ 

AGE ON 12/16/00 __________  SHIRT SIZE _________________________

TELEPHONE ______________________________________________________ 

Is this your 50 States & DC Race for WV? ______

WAIVER: I, THE UNDERSIGNED, HEREBY WAIVE ALL CLAIM FOR HARM AND INJURY THAT I MAY INCUR AS A RESULT OF MY PARTICIPATION IN THE SNOWFLAKE 50K ULTRA RUN ON DECEMBER 16, 2000. I FURTHER STATE THAT I WILL HOLD HARMLESS ALL SPONSORS, VOLUNTEERS, KANAWHA STATE FOREST, STATE OF WEST VIRGINIA, KANAWHA COUNTY AGENCIES, RACE ORGANIZERS, RACE DIRECTORS, WILD ANIMALS AND ALL THOSE ASSOCIATED WITH THE SNOWFLAKE 50K ULTRARUN. I ALSO STATE THAT I KNOW THIS IS A PHYSICALLY CHALLENGING AND DANGEROUS ACTIVITY WHICH I HAVE SUFFICIENTLY TRAINED FOR AND AM PREPARED PHYSICALLY AND MENTALLY TO ENDURE. I AGREE TO ABIDE BY ALL RACE RULES AND ACT IN A RESPONSIBLE MANNER.
SIGNATURE ____________________________________________________ 
                 (Parent or Guardian if under 18)

DATE ______________________________________