37th Annual
George Rogers Clark Trace 10 Mile Run
Rita Barker 2 Mile Run
10:00 am Eastern Time – 2 Mile Race *Vincennes time!
10:30 am Eastern Time – 10 Mile Race
Next Race: Old Northwest 5K May 28, 2010
Entry Form may be photocopied.
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Official Entry Form
Registration Fee: $22.00 (Non-Refundable) on entries postmarked on or before Feb 14, 2010. $25.00 registration fee on all late entries. ONRC member entitled to $1.00 discount. Make check payable to OLD NORTHWEST RUNNING CLUB.
Complete the following (please print neatly) Race entered: 10 mile___ 2 mile___ 2mile walker race ___
Name_____________________________________________________ Sex_____ Age as of Feb 27, 2010______
Address__________________________________________________City________________________________
e-mail address _________________________________________________________________
State _________ Zip______________ Phone__________________________________ Fees Paid
T-Shirt Size: Small _________ Med _________ Large _________ X-Large __________ $5.00 _______
$22.00 _______
$25.00 _______
WAIVER
In consideration of the foregoing, I for myself, my executors, administrators, and assigns, do hereby release and discharge the SPONSORS, and OLD NORTHWEST RUNNING CLUB, KNOX COUNTY, and CITY of VINCENNES and its departments, and other parties involved in the 37th annual George Rogers Clark Trace Run from all damages, demands, actions and causes of action and causes of action whatsoever, in any manner arising of growing out of participation in said run. I certify that I have run this distance or longer in practice prior to this event.
Signature ___________________________________________________________________________________
(Parent or guardian if applicant is under 18)
Mail to: Old Northwest Running Club
P.O. Box 869
Vincennes, IN 47591
Any questions contact Bob Hunt at 812-328-2210 or e-mail robertjerryhunt@hotmail.com