DV 50km Race Entry Form 2008

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Mail to : DV Trail Runs 239 Newport Drive, Port Moody BC V3H 5C9 

Diez Vista Trail Run 50km 2008 Entry Form  

Name:___________________________________________________________

 

Address:_________________________________________________________

                       

Phone:___________________________________________________________

 

Email:___________________________________________________________

 

Date Of Birth:_____________________________________________________

 

Age On Race:___________________________

 

Sex:      M       F         Cost: $60 dollars Canadian  or $65 dollars US (cheque made out to DV Trail Runs)

 

BCA#:_________________________________

 

T-Shirt Size (S-XXL)____________________unisex sizing, non-technical

 

# Of Ultra Marathons:______________________________________________

 

# Of Diez Vistas:__________________________________________________

 

Any Medical conditions we should be aware of:__________________________

 

________________________________________________________________

    

Waiver:

(please read the following before signing)

 

Waiver: In consideration of accepting this entry, I hereby for myself, my heirs, and executors waive any and all claims that I may have against any and all persons and organizations affiliated with this event, including but not limited to organizers and supporters, The Runners’ Den, BC Hydro, GVRD, BC Parks, Ministry of Forestry, BC Athletics, and any sponsors while traveling to and participating in the Diez Vista 50km trail run 2008. I also agree to abide by all race rules whether written or verbal. The race director reserves the right to refuse entry if I do not follow these rules.

  

Signature:_________________________________________________________

 

Date:__________________________________