The
The Scorched Sole Ultra
25/50
km runs
Name: ________________________________ Prov/State: ___________________
Address: _____________________________Phone
#: _____________
Postal/Zip Code: _________________
Email Address: __________________
Age on Race Day: _______________
Please Check:
Male______ or
Female______
25km_____ or
50km________
Race Entry Fee:
Received by May 22, $40
Received by June 6, $50
Day of Race June 7, $60
A technical garment will be available for purchase as
soon as it is completed.
Send completed entry form along with a
signed waver and cheques payable to the Kelowna Running Club to:
Shirlee Ross
228 Vimy Ave
The
The Scorched Sole Ultra
25/50
km runs
Waiver:
In consideration of accepting this entry, I hereby for
myself, my heirs, executors
and administrators waive and release any and all rights and
claims for damages of any sort that I may have against the organizers of the
Scorched Sole 25 kilometer and 50 kilometer race, their agents,
representatives, sponsors, successors, for any and all injuries suffered by me
in the Scorched Sole 25 kilometer and 50 kilometer race, for damages sustained
by me as a result of the race for any cause whatsoever, including negligence.
__________________________________________
Signature
Competitor (or Guardian if under 19 years of age)
__________________________________________
Print Name
__________________________________________
Date