Saturday, July 17, 2010 -- Bruceton Mills, WV / Big Bear Lake, Hazelton
Big Bear Lake 12 Hour Trail Run
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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 XLWaiver 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.
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)