Sunday, March 30, 2008 -- Morgantown, WV / Coopers Rock State Forest
Cooper's Rock 10K-MAGP Endurance #2
Return to the Details Page (checks payable to W.Va. Track Club)
Please Print Legibly- Enter All Applicable Information & Sign
NAME_________________________________ MALE ___ FEMALE ___
ADDRESS______________________________ Birthdate____/____/____
mm / dd /yyyy
______________________________ T-SHIRT M__ L__ XL__
PHONE ______________________________ MAIL TO:
W.Va. TRACK CLUB
EVENT 10K Run ____ 5K Walk ____ P.O. BOX 4159
MORGANTOWN, WV 26504
In consideration of your acceptance of my application for entrance in the Cooper's Rock 10K Run & 5K Walk, I, for myself and anyone entitled to act on my behalf, waive and release the Morgantown Roadrunners/West Virginia Track Club, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.
Signature of Entrant (Required) ______________________________
Signature of Guardian (if under 18) ______________________________