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Coweta Fast and Furious 5km August 28, 2010 7:00 pm - 5 km 7:05 pm – 1mile fun run and walk
Location of race: Coweta High School Track Hwy 51 and 305th Coweta Ok.
Register in person at Coweta American 109 S. Broadway Coweta, Ok Race director: Toby Hummingbird Phone number: 918-231-9449 Email: thummingbird@coweta.k12.ok.us Race day registration will begin at 5:30 pm Scoring by Glen’s Road Race Service Overall male and female trophies Standard age group medals
Filly and Clydesdale medals Entry fee: $10.00 (14 and under-no t-shirt) $20.00 (over 14 or anyone who wants a t-shirt) $10.00 (any cross country athlete-no t-shirt) Clip and mail the form (checks to Coweta Fast and Furious) along with entry fee to: Coweta Fast and Furious Run, c/o Coweta American 109 S. Broadway Coweta, Ok. 74429
name_______________________________________________________________________
address__________________________City_________________State________Zip_________ Age on race day___________________DOB__________phone_________________________ Filly (female 145 lbs or over) or Clydesdale(male 170 lbs or over) Weight________________ 5km race_____1 mile fun run_____
t- shirt size SM_____MD_____LG____ XL____ t-shirts limited to first 150 entries I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that there will be a possibility of traffic on the course. I assume the risk of running in traffic. I also assume any and all other risks associated with running this event including, but not limited to falls, contact with other participants, the effects of the weather and the conditions of the roads, all such risks being known and appreciated by me. Furthermore, I agree to yield to all emergency vehicles. Knowing these facts and in consideration of your accepting my entry, I hereby for myself, my heirs, or anyone else who might claim on my behalf, covenant no to sue, and waive and release and discharge any and all race sponsors, race officials, volunteers, local and state police, from any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever arising out of or in the course of, my participating in the event whether same be caused by negligence or fault. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned grants permission to sponsors and or agents authorized by them to use any photos, video tapes, motion pictures, or any other record of this event for any purpose. Minors accepted only with a parent or guardian’s signature. I agree no wheels, animals, carrying kids or number switching.
Signed____________________________________________________Parent must sign if under 18 years of age.
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