Run Like
Hell -
FRIDAY - October 31, 2008
Web Entry Form - 3 mile
run/walk
Check event: q
Competitive Run (with Chip timing) $20 q
Non-Competitive Fun Run $20
First name_______________________ Last
name_____________________________________
Address______________________________________________________________________________________
City______________________________________ State______________
ZIP____________________
Phone - day _________________________ Phone - evening
__________________________
Sex: r Male r
Female Age:_____________
T-Shirt size q
S qM q L q XL
q
XXL
e-mail address:________________________________________________
Note: Late fee on event day is $25.00 first come first serve
on T-shirts.
WAIVER (Must be signed)
I have read the
accompanying event information and understand the policies of the event. I know
that running and walking a race is a potentially hazardous activity. I should
not enter unless I am medically able and properly trained.
In consideration of the foregoing, I, for myself, my heirs, executors and
administrators, waive and release any and all rights and claims for damages I
may have against any of the sponsors, organizers, City of Indianapolis, White River State Park, The Metropolitan Development Corporation,
Keep Indianapolis Beautiful, The City of Indianapolis, Tuxedo Brothers, Inc., their employees, contractors, volunteers for any
and all claims of damages, demands or loss actions whatsoever which may arise as a result
of my participation in this event. I attest and verify that I am physically fit and have
sufficiently trained for the completion of this event and my physical condition has been
verified by a licensed medical doctor. I also understand the unique nature of this running
event. Further, I grant full permission to any and all of the foregoing to use my likeness
for any legitimate purpose whatsoever
______________________________________________________________________