Saturday, October 13, 2012 -- Ohiopyle, PA / United States
Yough River Trail Race
Return to the Details Page
Early registration $12.00 must be postmarked by October 6 2012, thereafter $15.00
Entry fee includes T-shirts for first 100 registered.
Make checks payable to: Knights of Columbus #9584
Mail checks to:
Yough River Trail Race
c/o Tom Markwardt
346 Old Mill Road
Ohiopyle, PA 15470
Name: ______________________________________________________________________
Address: ___________________________________________________________________
Town: ______________________________________________________________________
State: _______________ Zip Code: ____________________________________
Phone: (____________________)________________________________________
E-mail: _____________________________________________________________
Date of Birth: ____________________ Age as of 10/13/2012:______________
Male: ___ or Female: ____ Run:____ or Walk:___
Runners Only: Light heavyweight____ Clydesdale____
First Time Registrant____ or Have Run in Previous Years____
Where did you hear about the 5K? ___________________________________________
____________________________________________________________________________
Please Check Tee-Shirt Size: ____Small // ____Medium // ____Large // ____XLarge
THE FINE PRINT (read this before signing)
I hereby waive and release any and all rights and claims for damage or suit I may have against the race, its sponsor Knights of Columbus #9584, or officials of the race or the Commonwealth of Pennsylvania. I also certify that I am physically qualified to and have sufficiently trained to participate in this event. I also release any photos that may contain my image.
Signature: __________________________________________________________________
Date: ____________________________________
If under 18 years of age:
Entrant's Signature: ________________________________________________________
Parent or Guardian's Signature: _____________________________________________