Mail-in Registration Form

           12 Hours at Cool Night Run- August 1, 2009

		  

       
 

  

    
Make Checks Payable To:
    
Nancy Warren
  

        
Mail Entry To:

        
12 Hours at Cool



PO Box 887 


Wilton, CA 95693


E-Mail: nancywarren@frontiernet.net

  

         Name:  

      Address:  
         City:  
        State:     Zip: 
Business Phone:  Date of Birth:  Age on race date: 

Home Phone:     
Email Address:  	   
	   
	   Race Entry: $60
	   Late Entry(After 7/1/09): $65 
	   Race Day Entry: $65
	   Gender: M F
           No Refunds 
		 


        
Waiver 
          Must Be Read and Signed Before Mailing:

                 In consideration of my entry, I myself,heirs,executors, administrators, and assigns waive and release any and all rights and claims against the 2008 12 Hours at Cool Night Run, 
				 also any related coordinators, sponsors, volunteers, supporters, Nancy Warren, Ultrarunner.net LLC, Lake of the Sky Trail Runners Running Club, California State Parks, Bureau of Reclamations, Bureau of Land Management, and employees of Cool, California. I further attest that I am physically fit and have trained for this said 
				 event.I also agree to any/all medical treatment to be administered to me during or after completion of this event. I also waive any negative or positive input to the above race director 
				 during this event and will withdraw at the request of the above. I also accept full responsibility for my actions, etc. 
                  All fees are nonrefundable.

                   

        


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