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Registration Form

T-REX TEN MILER COURSE PHOTOS AGE GROUPS Registration Form Directions 2008 RESULTS 2008 Photos Winners 2008 Comments 2009 RESULTS 2009 winner photos 2010 RESULTS 2010 photos 2011 RESULTS 2012 RESULTS Awards Gallery 2013 RESULTS 2013 Photos

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OLD FARTS RUNNING CLUB

2010 WOODRUN

LOWELL, MI, 49331

Name:___________________________________________

Address:_________________________________________

_________________________________________________

_________________________________________________

Phone:___________________________________

Email:____________________________________

Date of Birth:___________ Age on Race Day:______

Gender: Male or Female ...Race: trex or wimpy

T-shirt Size: Circle one...small...med...large...extra large...xxl

Entry Fee is $20.00 for T-Rex... (wimpy cost $10.00) early registration by June 25th

Race Day Registration on July 4th is $25.00(wimpy costs $10.00)

OLD FART CLUB MEMBERS RECEIVE -$5.00 DISCOUNT

club number#=________

TOTAL ENCLOSED=______________

Make checks out to: Old Farts Running Club

T-Rex Ten Miler / Wimpy 8K Waiver:

WAIVER MUST BE SIGNED IN ORDER FOR ENTRY TO BE ACCEPTED...IN REGISTERING FOR THIS RACE I AM FULLY AWARE, UNDERSTAND, AND ASSUME THE RISK AND RESPONSIBILITY FOR PARTICIPATING IN THIS RACE ON A COURSE THAT IS OPEN TO VEHICULAR TRAFFIC AND HAS SOME TOUGH CHALLENGES IN IT. I HAVE FULLY CONDITIONED MYSELF TO THE APPROPIATE LEVEL OF FITNESS AND I WAIVE ALL CLAIMS AGAINST THE RACE DIRECTORS AND SPONSORS, HOST SITES AND ALL THAT ARE INVOLVED IN PUTTING ON THIS RACE, ETC., I AM ALSO AWARE OF THE FACT THAT IF THE RACE GETS CANCELLED DUE TO WEATHER OR OTHER REASONS BEYOND THE RACE SPONSORS CONTROL THAT THE RACE ENTRY FEE IS NON-REFUNDABLE.

SIGNATURE:___________________________ DATE:__________________

PARENT OR GUARDIAN IF UNDER 18 YEARS OF AGE:

______________________________________________________

For other great races go to the race links at www.oldfartsrunningclub.8k.com

see you at the races