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Saturday, July 17, 2010 -- Bruceton Mills, WV / Big Bear Lake, Hazelton
Big Bear Lake 12 Hour Trail Run (iPO Event Id#: 12599)

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CONTACT: Heather Parks, Phone: (304)216-4467 or (304)379-6411, E-mail: hbury98@hotmail.com

Registration is due by July 10th. Late registrations are $80 per person regardless of race class.

Entry Fees: $40 solo, $60 duo team, $100 team of 4, $125 Fun Team of 5

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

Name (Team):___________________________________________________________________________

Class (circle one):  Solo       Duo      4 person     5 person Fun Team

Names of team members:
Please list all team members and their gender, age, birth date, and T-Shirt size:

_____________________________________   M / F  Age:_____  DOB:__________  S  M  L  XL


_____________________________________   M / F  Age:_____  DOB:__________  S  M  L  XL


_____________________________________   M / F  Age:_____  DOB:__________  S  M  L  XL

 
_____________________________________   M / F  Age:_____  DOB:__________  S  M  L  XL


_____________________________________   M / F  Age:_____  DOB:__________  S  M  L  XL

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 2010 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.
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