Official Race Entry Form
Make Checks Payable To:
Feet First Promotions
Mail Entry To:
San Juan Trail 50k c/o Baz Hawley, RD 50612 Road 426 Oakhurst, CA 93644
First type in the following information on your computer, and then print the form, sign it, and mail it in with your payment.
50k---$55 (if postmarked by Oct. 27th, $75 thereafter)
Name:
Address:
City:
State: Zip: Sex: M F
Bus Phone: Date of Birth:
Home Phone: Age on race date:
E-mail address:
T-Shirt Size: Small Medium Large X-Large
WAIVER OF LIABILITY
In consideration of your accepting this entry, I, the here signed, intending to be legally bound hereby for myself,
my heirs, executors and administrators, waive and release any and all rights and claims for damages that I may
have against race director, volunteers, USATF, all sponsors and their representatives, successors, and assigns for
any and all injuries suffered by me in said event. I verify that I am physically fit and have sufficiently trained for
the completion of this event and my physical condition has been verified by a licensed medical doctor.
_______________________________ _____________ _____________________________________
Signature Date Parent's Signature if under 18