Coulee Cactus Crawl
Entry
June 7, 2003
Please Fill out form, print and submit to :Runners Soul 2646 South Parkside Dr. Lethbridge.Alberta T1K 0C4
PLEASE SUBMIT ALL TEAM ENTRIES TOGETHER
Entry Fee: $23.00

Entry Fee Enclosed: Please Make Cheque Payable to : Runners Soul

Name:

Age (on race day):

 Male
Female

Address:

Postal Code:

Phone:

Category:

*Male Team

Age Categories:

<16yrs

*Female Team

16-25 yrs

*Mixed Team

26-35 yrs

Solo Male

36+yrs

Solo Female

Team Name:

Shirt Size:

S

M

L

XL

*(Please submit team applications together)


RELEASE & INDEMNITY: MUST BE SIGNED "AS IS' OR THE ENTRY FORM WILL NOT BE ACCEPTED

In consideration of Runner's Soul, accepting this, my entry, I hereby, both for myself and my heirs release from liability and waive any and all claims or damages (whether for personal injury, death, illness, property damaged and/or property loss), including claims for negligence, which I may have as a result of my participation in this race, against the following: Runner's Soul, its executive and members; race organizers and members and volunteers assisting them; race sponsors, their employees and agents, the city of Lethbridge and its employees and agents; and other participants in this race.I acknowledge that running is a sport with risks (both known and unknown) inherent in it, and in signing this entry form it is my intention to accept the risks, and all consequences thereof, for myself alone. The terms of this Release are severable from one another, and the invalidity of any one or more clauses in this Release shall not affect the validity of the other clauses. I acknowledge that I have read this Release in its entirety, that I understand nd agree to be bound by its terms, and that I am signing it voluntarily without duress or undue influence from anyone.

Signature: _______________________________________________Date: __________________
(Signature of parent/guardian if entrant under 18 years)