Carnival Kick Off 1/2 Name_____________________________________________________
February 15th, 2009
Address___________________________________________________
City____________________________________State____ Zip________
Telephone________________________________
E-mail___________________________________
Gender___ Age on 2/15/09________ Race 1/2 Marathon____10k____5k____ Athena/Clydsdale Y N
Shirt size - (circle one) (Unisex) S M L XL
Entry Fees: Register on or Before 1/2 10K 5K 12/15/2008 $55 $35 $25 02/14/2009 $65 $45 $35 Race Day $75 $55 $45 Total Enclosed $________
Registration is NON-Refundable
WAIVER: I understand that running is a strenuous activity and has some inherent risk. In signing, I give statement that I am in good health and that there is no medical reason that I should not attempt such a feat. I know that running on trails and roads pose many hazards; not limited to falls, bad weather, rockslides, wild animal attack, and generally dangerous conditions not listed. I am entering this event with full knowledge that I could easily be hurt or face life-threatening injuries. I fully assume all risks of illness, injury or death, and release covenant not to sue, and discharge Every Body Fitness, LLC, Carnival Kick Off Event, the City of San Carlos, Sonora, Mexico, and all sponsors, all food and supplement suppliers, or other agents from all actions, claims or demands for damages arising out of my participation in this event. The foregoing release is binding on me personally, as well as upon my heirs, executors, and administrators, all members of my family who might make claim on my behalf.
Signed_______________________________________________ Date__________
Parent or Guardian______________________________________ Date__________
(If participant is under 18)
Make Checks Payable to: Every Body Fitness, LLC
Mail to:
In US: Stephanie Holbrook, Every Body Fitness, LLC,
In Mexico: ERA San Carlos Realty, Kelly Prochnow, #1 Plaza Comercial Las Palmas
Manlio Fabio Beltrones, San Carlos, Sonora Mexico, AZ 85506