Runners Soul
Lost Soul Ultra
Entry Form
50Km , 100Km & 100Mile Trail Run
Sept 28-29/2001
Please fill out entry form print out and mail or delivery with cheque to:
Runners Soul
2646 South Parkside Dr.
Lethbridge, Alberta
Canada
T1K 0C4
Entry Fee: 100Mile - $100.00,100Km -$75.00, 50Km - $50.00 (Canadian Funds)

Please Indicate Race Distance:

50Km
100Km
100 Mile

Last Name:

First Name:

Address:

City:

Prov./State:

Postal/Zip Code

Telephone:

Shirt Size:

S
M
L
XL

PLEASE, PLEASE make sure form is COMPLETELY Filled out!!
Cash or Cheques( NO POST DATED CHEQUES) only , No Race confirmation sent out

  Waiver: Please Read & Sign
I know that running a trail race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by a decision of race officials relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, including cold,heat or high humidity, and all such risks associated with trail running. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive, and release Runners Soul Inc., and all race officials and agents, all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.

Runners Signature:_____________________Date:____________________