

|
POST
HOLIDAY BLUES 10K
SATURDAY, JANUARY 10, 2009 9:00AM
FORSYTHE PARK MONROE, LOUISIANA
ENTRY FEES: Postmarked by 1/03/2009 $18 Race Day $25
ON-LINE REGISTRATION: www.signmeup.com
COURSE: Pancake flat and fast 10K through scenic Monroe.
AID STATIONS: 2 water stops with water and energy drink.
POST RACE: Food, music, beverages and good times.
AWARDS: Prize money to top 3 overall and overall masters
female and male racers.
Age group awards for top 3 in each division.
RACE DAY SCHEDULE: 7:45-8:45 AM Late registration and
packet pickup
9:00 AM Race Starts
9:30 – til: Post race party
MORE INFO: Contact Jennifer at sunnyla@bayou.com.
========================================================
Registration Form
Name ______________________________________ Age on 01/10/09_____ Sex_____
Address ______________________________________________
E-Mail ____________
City ___________________ State_____ Zip _______
Phone _____________________
T-Shirt size (circle one): Youth L Adult S M L XL
Checks payable to Amy’s Animal Sanctuary Mail to:
Post Holiday Blues 10K
Attn: Jack Armstrong
110 Jason Drive
West Monroe, LA 71291
RELEASE OF RESPONSIBILITY/WAIVER
In consideration of my being admitted to run the Post Holiday Blues 10K,
I for myself, my heirs and assigns, executors, and administrators, do
hereby release and discharge Forsythe Park, sponsors, the Ouachita Valley
Road Runners Club, their employees and their agents, of and from any and
all claims of demands for damages of liability in any manner arising out
of my participation in said event. I agree to follow all rules and to
permit myself to be removed from competition if, in the opinion of the
race administrators, my competing would endanger my health or the health
of others. I certify that I am in good health and that I am prepared to
compete in this event. I understand that some roads may be open to traffic.
Signature _______________________________________________
Date ______________
(Parent or guardian if participant is under 18 years of age)
|
 |