Saturday, July 21, 2007 -- Bruceton Mills, WV / Big Bear Lake, Hazelton
Big Bear Lake 12 Hour Trail Run (iPO Event Id#: 10085)

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Name (Team):________________________________________

Class (circle one):  Solo       Duo      4 person      HS Team

Names of team memebers:
Please list all team members and whether or not you are male/female

_____________________________________   M   /   F


_____________________________________   M   /   F


_____________________________________   M   /   F

 
_____________________________________   M   /   F


_____________________________________   M   /   F

Waiver of Liability I Hereby release from liability the Big Bear Lake Campgrounds and Alyeska Inc. All sponsors, race officials, and anyone connected in anyway with the 2006 Big Bear Lake 12 Hour Trail Run for any injury or ailment resulting from my participation in the above stated race. I further state that I am aware that this race is a strenuous activity and I have prepared properly for my participation in it.

SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)

Registration is due by July 14th. No late registrations will be accepted.

Entry Fees: $40 for solo, $35 per/runner duo team, $30 per/runner 4 person team, and $25 per/runner high school team.

Please make checks payable to Big Bear Lake Camplands

Big Bear Lake Camplands
Route 3 Box 203
Bruceton Mills, WV 26525