2008 Kokopelli Kid's Trail Running Series
Registration Form: |
| Last Name ____________________________ First Name __________________________ M.I.____ |
| Street Address__________________________________________________________ |
| City______________________ State____ Zip_______ |
| E-Mail Address _____________________________ Phone Number_________________________ |
| Gender: M___ F___ School Your Child Attends ____________________________ |
| Grade as of May 2, 2008 ____________________________ Date of Birth___________ |
| T-shirt Size: Youth S ____ Youth M ____ Youth L ____ Adult S ____ Adult M ____ |
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| Entry Fee: |
| Series $40.00 (for all three races) ______ |
| Individual $15.00 (per race) ______ |
| Make checks payable to Prospect Lake Events, 175 Ellsworth Street, Colorado Springs, CO 80906 |
I, for myself, my heirs, and anyone entitled to act on my behalf, waive and release the race director, Lisa Rainsberger, Prospect Lake Events, USAT&F, El Paso County Parks, and all sponsors their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of one or more parties named in this waiver.
The undersigned Participant understands and is aware of the risks and hazards of Trail Running races in general and this Event, The Kokopelli Kids Trail Running Series in particular. I represent that I am physically fit and capable of participating in this event and further represent that if I have any question regarding my fitness for this Event, I've consulted with a physician. I assume all risks associated with my participation in this Event, even if those risks are caused by the negligence of someone else. I discharge and release forever Prospect Lake Events and any other sponsors or organizers together with their respective officers, agents employees and other representatives of any liability whatsoever for any claim for damage, injury or death that may happen during my participation in this Event. I understand that there is no obligation to provide me with medical care as a result of my participation in this Event, but that if such emergency care is provided, all of the terms of this Agreement shall apply. The organizers of this event may use my likeness, or photograph for any purpose without compensation to me.
PARENT or GUARDIAN (if entrant is under 18)
As Parent of the Participant, I understand and accept that all above conditions apply to both of us.
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| Parent or Guardian Signature: ______________________________ |
| Parent or Guardian Name Printed: ___________________________ Date: __________________ |