Share |

Sunday, March 24, 2013 -- Bruceton Mills, WV / Coopers Rock State Park
Coopers Rock 10K /5K Walk (iPO Event Id#: 14514)

Return to the Details Page

RACE CONTACT: Heather Parks (phone) 304-216-4467 or (email) hbury98@hotmail.com

FEE: $20 postmarked by 3/18/13 ... $25 thereafter and on race day

Check payable to: W.Va. Track Club ... Mail To: W. Va. Track Club, P.O. Box 4159, Morgantown, WV 26504

(Please Print Legibly, Enter All Applicable Information & Sign)


NAME ___________________________________________________________________Male/ Female


ADDRESS ___________________________________________________Phone____________________________


AGE _________ Date of Birth ___/____/_____ T-Shirt Size S/ M/ L/ XL


Event Category 10k Run/ 5k Walk


In consideration of your acceptance of my application for entrance in the Cooper's Rock 10K Run & 5K Walk, I, for myself and anyone entitled to act on my behalf, waive and release the Morgantown Roadrunners/West Virginia Track Club, 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

_____________________________________________________________________________ (Parent or Guardian, if under 18 yrs.) Date