NYS Woodsmen's Field Days Inc.

10K Foot Race & 5K Woodsmen's Walk

Entry Form

Last Name:____________________________________________

First Name:____________________________________________

Address: ______________________________________________

City: _________________________________________________

State:____________________Zip:__________________________

Age:(As of 8/16/13):_____________________________________

Sex:_______________Phone:(_____)_______________________

Walker:________________ or 10K Racer: ___________________

T-Shirt size: S______M______L______XL______

E-Mail Address:_________________________________________



 
Waiver
I know that running/walking a road race is a potentially hazardous activity.   I should not enter and run/walk 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 risk associated with running/walking in this event including, but not limited to, fall, contact with other participants, the effects of weather, including high heat and/or humidity, traffic and the conditions of the road and any contact with animals.  All such risk being known and appreciated by me.  Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the NYS Woodsmen's Field Days Corporation, The Town And Villages of Boonville, Adirondack Central School System, Race Organizers and Sponsors, Their Representatives and Successors from all claims and liabilities of any kind arising out of my participation in this event. I also give permission to the event sponsors to use any or all photos taken of me in future advertising of the event(s).

Name:__________________________________________________________________

Date:____________________________________

If under 18, Parent Signature required:____________________________________________________

 
 
Mail completed entry form with check payable to NYS  Woodsmen's Field Days, Inc. to:
NYS  Woodsmen's Field Days, Inc.    -     PO Box 123    -     Boonville, NY 13309

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