CarmelFest Freedom Run and Walk -   Friday, July 4, 2008
Web Entry Form (must be postmarked by June 30, 2008)

r 4.5 Mile Run/Walk   r Family Member ($15.00)   r 1.5 Mile Run/Walk   r 1.5 Mile Family Member ($15.00)
Name:___________________________________  Age on 7-4-08:______ rMale rFemale
Street:_______________________________________________________________________
City:________________________________________State:_____________ Zip:___________
Day Phone:_________________________ Evening Phone:___________________________
E-mail ____________________________________________________________________

T-Shirt size:  rS rM rL rXL rXXL

Credit Card Type (circle one) VISA   MC   Amount paid ________
Credit card number _______________________________________
Credit card expiration date ____________
Signature on waiver below serves as your permission to charge your credit card. 
FAX entry to (317) 873-5803  (fax deadline is July 1)
Fees:  Pre-registered on or before Event Day - $20.00 
Entry Fee on Event Day - $23.00

CHECKS ARE PAYABLE TO:  Tuxedo Brothers
MAIL COMPLETED ENTRY FORM AND PAYMENT TO:   
Tuxedo Brothers  6265 Boone Ridge, Zionsville, IN 46077

Waiver
I have read the accompanying event information and understand the policies of the event. I know that running and walking a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run or walk. I also know that while police protection will be provided, there may be traffic on the course. I assume that all stakes associated with my voluntary participation in this event, including but not limited to falls, contact with other participants, the effects of the weather, including extreme temperatures, traffic and all conditions of the road, all such risks being known and appreciated by me. Knowing these facts and in consideration of your accepting my entry, I for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE, Emmis Communications, City of Carmel, Carmelfest, Tuxedo Brothers, Inc., race officials, workers or volunteers, their representatives, successors or assigns for ANY AND ALL claims of liability, whether foreseen or unforeseen for death, personal injury or property damage ensuring out of or in the course of my participation in this event. I further give full permission to the above-mentioned sponsor(s), organizers, and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recording or other record of the event for any reasonable purposes. I understand that I will be timed and scored with a timing tag if doing the run. I agree to return this tag immediately following the event or pay the organizers a replacement fee of $20

Signature_______________________________________________ Date __________________
Parent’s or Guardian’s Signature if under age 18__________________________________________ Date ______________
Incomplete/unsigned entries will not be accepted. - Entry form can be copied.
Must be postmarked by June 29 - Fax by July 1