Mount Summit Challenge

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Sunday, April 16, 2000 -- Hopwood, PA
Mount Summit Challenge

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Pre Registration: $15.00 ($17.00 for XXL shirts) - Entry must be postmarked by April 7th at 5:00 p.m. Fayette Striders Club Members (pre-registered only): $14.00 ($16.00 for XXL).

Late Registration: $20.00 ($22-00 for XXL) Sizes not guaranteed after April 7th. Enter Early!

Detach here and Mail to:
The Fayette Striders Running club, P.O. Box 1441, Uniontown, PA 15401

Name:_____________________________________________________
(Please print)

Address:__________________________________________________

City:_______________________ State:_______ Zip:___________

Phone #: Home:___________________ Work:___________________

Please check: ___Run ___Walk  or  ___Cruiser ___Clydesdale
                                 (male runners only)

Sex:  F  M    Shirt Size:  M  L  XL  XXL (Add $2 for XXL)     

Age:____   Date of Birth: __/__/__  Amt. enclosed $_______
(as of 4/16/00)                               (payable to The Fayette Striders)

In consideration of my entry being accepted in the Mt. Summit Challenge 3.5 mile run/walk, I, intending to be legally bound, do hereby, for myself, my heirs, executors, and assigns waiver, release and forever discharge any and all rights and claims for damages that I may have or which may hereafter accrue to me against The Mt. Summit Challenge, Fayette Striders Running Club, WVOutside, PennDot and to all its sponsors.

Athlete
Signature:______________________________ Date:____________

Parent or guardians signature:____________________________
(For athletes under 18)

Affiliates: WVMBA | MAGP | WVMTR | APRRS | WVCXS