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Saturday, May 17, 2003 -- Yellow Spring - Capon Valley, WV
Capon Valley Fifth Annual 50K Run
2003 Entry Form

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WAIVER I know that running in a cross country race is a potentially hazardous activity. I agree to abide by any decision of a race official relative to my ability to safely complete this run. I assume all risks associated with running in this event, including, but not limited to hazards on the race course, falls, contact with other participants, the effects of the weather, road traffic and conditions of the road and trail, all such risks being known and appreciated by me.

In consideration of your acceptance of my entry I hereby for myself, my heirs, my executors and administrators, waive any and all rights and claims for damages I may have against the Capon Valley Ruritan, USA Track and Field West Virginia Association, the race director, all volunteers and landowners, their agents and sponsors for any and all personal or property injuries or death suffered by me while participating in the Capon Valley 50K Run. I hereby waive any rights to sue or bring any action in a court of law against the sponsor, each owner and volunteer, and agree to hold them harmless against such suit or action. I hereby expressly assume all risks and dangers associated with the run. I hereby, by my signature, acknowledge reading and understanding this clause, and attest and verify that I am aware of the hazards associated with this event and am physically fit and have trained sufficiently for this event.

Signature___________________________ Phone day___________________
                                                
Name printed________________________ Phone evening_______________

Today's Date_____________ E-mail_________________________________

Address__________________________________________________________

Age as of race date_______ Gender_______ T-shirt size____________

Vegetarian ____                      Mail Entry forms to
Additional dinners: $7                 Lynn Golemon
Entry fee before May 1: $60            P O Box 127
Entry fee after  May 1: $75            Yellow Spring, WV  26865
Sign up on line at www.active.com for a small fee

Make Checks payable to Capon Valley Run


Please copy this entry form if you need extras.

Please print legibly!! If I cannot read your e-mail address, you will NOT receive confirmation of your entry.

If you plan to camp, please let us know.