Registration
Race day entries will be accepted. Registration ends 15 minutes before race time.
Entry Fee 50K $40.00 25K $30.00 15K $25.00 10K RELAY $30.00 (per team) 10K $20.00 Age Categories 12-17, 18-25, 26-35, 36-45, 46-55, 56-65, 66... NAME_________________________________EMAIL_______________ ADDRESS____________________CITY_________________STATE___
GENDER________AGE_____EVENT______________FEE__________ WAIVER: BY SIGNING THIS WAIVER I AGREE AND RECOGNIZE THAT PARTICIPATING IN THIS EVENT COULD BE POTENTIALLY HAZARDOUS TO MY HEALTH AND WELL BEING. THAT I ASSUME ALL RISK ASSOCIATED WITH THIS ACTIVITY AND DECLARE MYSELF TO BE PHYSICALLY AND MENTALLY PREPARED TO COMPETE. I HEREBY WAIVE AND RELEASE FOR MYSELF AND ANYONE ENTITLED TO ACT ON MY BEHALF ANY ORGANIZERS OR VOLUNTEERS FROM ANY AND ALL CLAIMS OF ANY KIND ARISING FROM MY PARTICIPATION IN THIS EVENT. FURTHER I GRANT PERMISSION FOR THE USE OF MY NAME AND ANY PHOTOGRAPHS TAKEN AT THE EVENT. Signature________________________ Date_________________ If under 18 the entry must be signed by parent or guardian.
1. click and drag to highlight the entire form
2. right click the highlighted portion and select print
3. in the print range box, click the "selection" button
4. click print
ENTRY FORM: One Hill At A Time Run (print this form on your printer an then mail it with your entry check to the Race Secretary/Treasurer's address at the bottom of the page)
Team entries must have two waivers signed and clearly state who the team members are.
50K--$40, 25K---$30 15K---$25 10K---$20 & 10K RELAY (per team)--$30
MAKE CHECK PAYABLE TO - One Hill At A TIme
Mail entries with check or money order to:
John Neal, One Hill At A Time Run
P.O. Box 28
Scandia, KS 66966