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Sunday, March 24, 2002 -- Morgantown, WV
Coopers Rock 2002 (MAGP #1) (iPO Event Id#: 4834)

Race Details

Coopers Rock 10K Entrance Form - March 24, 2002 - 2:00pm Start

Please Print - Enter ALL Applicable Informatin & SIGN


NAME_________________________________   MALE ___  FEMALE ___

ADDRESS______________________________   Birthdate  _________

       ______________________________   T-SHIRT M__ L__ XL__

PHONE  ______________________________   MAIL TO:
                                        W.Va. TRACK CLUB
EVENT    10K Run ____  5K Walk ____     P.O. BOX 4159
                                        MORGANTOWN, WV 26504

Morgantown Area Grand Prix registration will be seperate and available at the race.

In consideration of your acceptance of my application for entrance in the Coopers Rock 10K, I, for myself and everyone entitled to act on my behalf, waive and release the Morgantown Roadrunners/ West Virginia Track Club, the Road Runners Club of America, and all sponsors,their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.

Signature of Entrant (Required) ______________________________

Signature of Guardian (if under 18) ______________________________