Feel Good Farm
54 Johnson Corner Road,
Lyndeborough, NH 03082
Saturday
January 16, 2010 11:30 AM
Race #2 in the Granite State
Snowshoe Series
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A challenging 9K snowshoe race on the beautiful
trails of Feel Good Farm Benefits Happy Valley Animal
Rehab
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For more information call (603) 429-8879;
go to http://www.3CRaceProductions.com/RacePages/FeelGoodFarmSnowshoe.htm
or email: michael@3craceproductions.com
Make check payable to: 3C Race Productions,
and mail to: Feel Good Farm Snowshoe Race, 160 AMherst Road, Merrimack, NH 03054
Name:______________________________________________ Circle Gender: M F Age:______
Address:_____________________________________________ Phone:________________________
City:_______________________ State:____ Zip Code:________ Email:________________________
Running Club:________________________________
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I know that running is a potentially hazardous activity. I should not enter or run/walk this event 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/walk. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release 3C Race Productions LLC, and Feel Good Farm, 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 the persons named in this waiver. All fees are nonrefundable. |
___________________________ ___________ ______________________________
Signature Date Parent's Signature if under 18