SHOTGUN TRAIL BLAST - Saturday, april 4th 2015

SHOTGUN TRAIL BLAST - Saturday, april 4th 2015
The 2nd event in the 2015 “RBTS” - Run Big Trail Series
EVENT, I AM ENTERING: SELECT ONE
NAME:
50K -8AM
25K -9:45AM
10K -9:50AM
5K -10AM
(LAST)_________________________________________(FIRST)____________________________________________________________________
ADDRESS: ______________________________________________________________________________________________________________________
CITY:____________________________________ STATE:________________________ ZIP:_______________
GENDER (Circle One)
Male or Female
AGE ON RACE DAY_______________TELEPHONE:_________________________________________________EMAIL:___________________________________________
PLEASE CIRCLE SHIRT SIZE & GENDER - IF ORDERING SHIRT: ($12) - MENS OR WOMENS - Adult Sizing
PLEASE SELECT ENTRY OPTION:
-
XS
S
M
L
XL
XXL
$50 for 50k without shirt
$35 for 25K without shirt
$25 for 10K or 5K without shirt
$12 Add Shirt (Shirt Cut-off is 3/25/15)
Minus $5 (Ages 17 & under AND 60 & over, receive a $5 discount)
Day of registration is available, for $5 additional, on race day, 4/4/15
NOTE: ENTRY FEES ARE NON-REFUNDABLE AND NON-TRANSFERRABLE.
Signature (parent or guardian if under 18):_________________________________________________________________________________________________________________
MANDATORY WAIVER: I know that a road race/walk or wheelchair event is a potentially hazardous activity. I should not enter and participate in this event unless I am medically able and properly
trained and have sufficient stamina to safely and successfully complete this event without harm or injury to myself. In consideration of the acceptance of my entry, my heirs, executors, administrators and
assigns, waive, release and discharge any and all rights and claims for damages against the Shotgun Trail Blast race directors and designated race officials, Level 32 Racing LLC, Eclectic Edge Events, LLC,
U.S. Government Bureau of Land Management, City of Marcola and all participating sponsors, agents and employees of such parties for all claims of damages, demands and actions, whatsoever in any
manner arising from my participation in this event. I grant permission to all of the foregoing the use of any photographs, motion pictures, recording, or any other record of this event for any legitimate
purpose.
Mail completed entry form(s) with fee to:
(PAYMENT BY CASH OR CHECK ONLY)
See info. below for in person registration details
LEVEL 32 RACING
P.O. Box 1732, Eugene, OR 97440
IN-PERSON REGISTRATION: In-person entry can be made through Friday, April 3rd, at 12:00pm, at Eugene Running Company (116 Oakway Center) Packets available on race day
ONLY from 7:00am for 50K and 8:10am to 9:45am for all other distances. Full event details and online registration available at www.Level32Racing.com