Big Bear Lake 12 Hour Trail Run

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Saturday, July 18, 2009 -- Bruceton Mills, WV / Big Bear Lake, Hazelton
Big Bear Lake 12 Hour Trail Run (iPO Event Id#: 11740)

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Name (Team):________________________________________

Class (circle one):  Solo       Duo      4 person      Fun Team

Names of team memebers:
Please list all team members and whether they are male or female

_____________________________________   M   /   F


_____________________________________   M   /   F


_____________________________________   M   /   F

 
_____________________________________   M   /   F


_____________________________________   M   /   F


_____________________________________   M   /   F

Waiver of Liability I Hereby release from liability the Big Bear Lake Campgrounds and Alyeska Inc. All sponsors, race officials, and anyone connected in anyway with the 2008 Big Bear Lake 12 Hour Trail Run for any injury or ailment resulting from my participation in the above stated race. I further state that I am aware that this race is a strenuous activity and I have prepared properly for my participation in it.

SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)
SIGNATURE:
__________________________________________________
                     (PARENT/GUARDIAN IF UNDER 18)

Registration is due by July 12th. No late registrations will be accepted.

Entry Fees: $25 per person (i.e. $25 solo, $50 duo team, $100 team of 4, $25 x #of runners for Fun team)

Please make checks payable to Alyeska, Inc.

12 Hour Trail Run
c/o Big Bear Lake Camplands
Route 3 Box 204
Bruceton Mills, WV 26525

Affiliates: WVMBA | MAGP | WVMTR | APRRS | WVCXS