Mount Summit Challenge

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Recaps and Results

Sunday, April 22, 2001 -- Hopwood, PA

Mount Summit Challenge
Radcliff DeHaas & Monaghan
3.5 Mile Run & Walk

Pre Registration: $15.00 ($17.00 for XXL shirts) - Entry must be postmarked by April 14th. Fayette Striders Club Members (pre-registered only): $14.00 ($16.00 for XXL).

Late Registration: $20.00 ($22-00 for XXL if available) Sizes not guaranteed after April 14th. Enter Early!

Make Checks Payble to: Fayette Striders

Mailing Address:
Mount Summit Challenge
P.O. Box 1441
Uniontown PA 15401

Return to the Mount Summit Race [Details Page]

PLEASE PRINT

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NAME

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ADDRESS

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CITY                                   STATE     ZIP

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PHONE (HOME)

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PHONE (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 4/22/01)

WAIVER: 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, iPlayOutside, INC., PennDot and to all its sponsors.

 

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ATHLETE SIGNATURE

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DATE

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PARENT/GUARDIAN MUST SIGN IF ATHLETE IS UNDER 18 YRS OF AGE

Affiliates: WVMBA | MAGP | WVMTR | APRRS | WVCXS