race limited to 150 runners - preference to runners entering multiple
Runners who finish at least three races win a prize!
|Name______________________________________________________Age on Race Day**______Sex____
**If your birthday falls during the series, please record your age on the day of the first race in the
series you will be participating in.
|Waiver: I understand that running is strenuous exercise. In signing, I give statement that I
am in good health and that there is no medical reason that I should not attempt such a feat.
I know that running on trails in the wilderness may pose many hazards, not limitied to:
falls, bad weather, rockslides, wild animal attack, becoming lost, and generally dangerous
conditions. I am entering this event with full knowledge that I could easily become hurt or
face life-threatening injuries. I fully assume all risks of illness, injury or death and release
covenant not to sue, and discharge the City of Helena, the race director and other agents
from all actions, claims or demands for damages arising out of my participation in this
event. The forgoing release is binding upon me personally and anyone else who may make
claim upon my behalf.
Signature of Parent or Guardian if applicant is under 18
|Make checks payable to: Brian Wieck
Mail entry fee and signed form to: Brian Wieck/ 1815 Knight Street /Helena, MT/ 59601
Questions? Bquick50k@hotmail.com (406) 431-0697