2013 San Juan Trail 50K Race starts at 7:00 AM. Limited to 150 runners. Saturday March 16, 2013 First, type in the following information on your computer, then print the form, sign it and mail it in with your payment. to Baz Hawley, RD 73-R Calle Aragon Laguna Woods, CA 92637
Make Checks Payable To:
Feet First Promotions
SJT 50K
Name:
Address:
City:
State: Zip: Sex: M F T-Shirt Size: Small Medium Large X-Large
Bus Phone: Date of Birth:
Home Phone: Age on race date:
E-mail address:
WAIVER OF LIABILITY
In consideration of your accepting this entry, I, the here signed, intending to be legally bound hereby for myself,
my heirs, executors and administrators, waive and release any and all rights and claims for damages that I may
have against race director, volunteers, USATF, US Forest Service, all sponsors and their representatives,
successors, and assigns for any and all injuries suffered by me in said event. I verify that I am physically fit
and have sufficiently trained for the completion of this event and my physical condition has been verified by
a licensed medical doctor.
_______________________________ _____________ _____________________________________
Signature Date Parent's Signature if under 18