Official Entry Form

(May be printed and duplicated)                                          IDYLLWILD RACE June 10, 2017

Age (race day)______ Sex M F

5K Run  10KRun   Both Runs   Kids' 1/2 Mile  Volkslauf Team ____(Please attach all 5 forms together)

5K Walk (Walkers must walk! If you plan on running any part of this event, you must enter as a runner.)

First Name_______________________________ Last Name____________________________________________

Address_____________________________ City______________________________ State_____ Zip___________

Area Code & Phone Number (_____)_____________________

E-Mail address _______________________________________

T-Shirt size: S   M   L   XL   None

ENTRY FEES:

5K/10K Adult Registration $32 with shirt (add $3 after 6/3/2017) $______

5K/10K Adult Registration $25 without shirt (add $3 after 6/3/2017) $______

Both Races 5K & 10K $38 with shirt (add $3 after 6/3/2017) $______

Both Races 5K & 10K $35 without shirt (add $3 after 6/3/2017) $______

Children (16 & younger) $20 with shirt $______

1/2 Mile Kids' Fun Run $ 5 without shirt $______

Volkslauf Team $100 (5 racers must finish together in matching shirts) $_______

Additional Long Sleeved T-Shirts @ $15 each (preordered only)

S______ M______ L______ XL______ $______

Donation to the Idyllwild School Phys. Ed. program: $______

TOTAL ENCLOSED: $______

Make entry fee payable to: Idyllwild Race Committee. Mail with completed form to P. O. Box 1201, Idyllwild, CA 92549

Tickets for the PTA breakfast may be purchased day-of-race or at the packet pick-up and registration Friday night before the race.

T-Shirts not guaranteed on day-of-race registration. Available on a first come, first served basis.

Waiver: (must be signed) – In consideration of your acceptance of my entry, I for myself, my executors, administrators, and assignees, do hereby release and discharge the Idyllwild Race Committee, USA Track & Field, Kathy Loper Events, and all other sponsors and associates for all claims of damage, demands, actions whatsoever in any manner arising or growing out of my participating in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event, that this race occurs at an altitude of 5,500 feet and I am physically fit and have sufficiently trained to participate in this event.

Entrant's Signature________________________________________Date__________________ (parents or guardians signature if entrant is under 18 years of age – this is to certify that my son/daughter has my permission to compete in this event, is in good physical condition, and that the event officials have my permission to authorize treatment if necessary.)