Saturday, January 5, 2008 -- Fairmont, WV / MCPARC Trail and Caperton Trail, Prickett's Fort State Park
Run to Read Half-Marathon-MAGP Endurance #10
Entry Fees $20 by 1/1/08, $25 after 1/1/08
Please make all checks payable to: Literacy Volunteers of Marion County
Mail check and pre-registration form to: LV of Marion County, 601 Locust Ave., Fairmont WV 26554
NAME ______________________________________________________________
ADDRESS____________________________________________________________
CITY_______________________________________________________________
STATE, ZIP ________________________________________________________
PHONE _____________________________________________
AGE ____(on 1/5/08) BIRTHDATE _____________________
MALE_____________FEMALE_________
EMAIL (OPTIONAL)___________________________________________________
WAIVER: I waive for myself, my heirs, and assigns, all claims for damages which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. I also release any photos that may involve myself.
_________________________________________________________________
SIGNATURE
(A Parent MUST sign if racer is under 18 yrs old)