Holliday Park Trail Run -   Saturday, March 8, 2008
Web Entry Form (must be postmarked by Monday, March 3, 2008 or Limit of 500)
r 5Mile Trail Run/Hike   r 1Mile Children's Trail Run (ages 6-12)     r Tot Trot (5 and under)
Name:___________________________________  Age on Race Day:______ rMale rFemale
Street:_______________________________________________________________________
City:________________________________________State:_____________ Zip:___________
Day Phone:_________________________ Evening Phone:___________________________
r - I am on a track/XC team
T-Shirt size: rS  rM rL rXL rXXL       q Youth Small   q Youth Med.   rYouth:Large

Need child Care?  Number of children____________Ages_____________ (minimum age is 2)
Note: Childcare is limited to the first 50 children - first come first served.
Credit Card Type (circle one) VISA   MC   Amount paid ________
Credit card number _______________________________________  Expiration date ____________
Signature on waiver below serves as your permission to charge your credit card. 
FAX entry to (317) 327-7228

CHECKS ARE PAYABLE TO:  Holliday Park Trail Run
MAIL COMPLETED ENTRY FORM AND PAYMENT TO:  Holliday Park Trail Run
6363 Spring Mill Road, Indianapolis, IN  46260

RELEASE AND WAIVER STATEMENT (Must be signed) I have read the Holliday park Trail Run entry form completely and understand the policies of the event.  I know that participating in a Trail Run is a potentially hazardous activity and will require running/hiking across rugged, uneven terrain, barriers and other obstacles.  I should not participate unless I am medically able.  I understand the nature of, and assume all risks associated with my voluntary participating in this event, including, but not limited to falls, contact with other participants, the effects of weather, including extreme temperatures and precipitation, and traffic.  Knowing these facts, I for myself, heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE Friends of Holliday Park and any an all sponsors affiliated with the 2008 Holliday park Trail Run, Tuxedo Brothers, Inc, race officials, workers or volunteers, their representatives, successors or assigns for ANY AND ALL claims or liability, whether seen or unforeseen, for death, personal injury or property damage arising out of, or in the course of, my participation in this event. I agree to use the IPICO timing tag for the race. If I fail to return this tag upon completion, I will pay the $20 replacement fee.  I further grant full permission to the Friends of Holliday park and/or agents authorized by them to use any photographs, video tapes, or other record of the event for any reasonable purpose

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.