Sanctioned by USA Track & Field (USATF)
May 18, 2013
Redmond, Washington

    Registration Form & Waiver(type, sign, and mail)

    First Name:

    Last Name:     Male   Female  

    City:    State:       Zip:    

    Your Phone:     Emergency Phone:

    Food Alergy or Med Problem:

    E-Mail Address:  

    Age Day of Race:     

(Payable to Cascade Running Club)

Deposit enclosed ($75 per person) $


Please read the following before signing - WAIVER: In consideration of your accepting this entry, I hereby for myself, my heirs, and executors, waive any and all claims that I may have against any and all persons and organizations affiliated with this event, including but not limited to organizaers and supporters, USATF, PNTF, Cascade Running Club and any sponsers, while traveling to or from and participating in the WATERSHED PRESERVE 12 HR TRAIL RUN.

    Signature :   ___________________________________________________________


Return Entry with Payment to:
Cascade Running Club
PO Box 218, Kirkland, WA 98083-0218


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