2 or 5-Mile Trail Fun Run

Saturday, September 15, 2012, 9:00 AM

Registration: Check-in and late registration begins at 8:00 a.m. at Field Springs State Park, 22 Miles South of Clarkston on Hwy 129. For more information call Jennifer Brenner at (509) 843-7066. There will be no park entry fees this day only.

Cost: $7.00 or $17.00 with a T-shirt if you pre-register before September 5^th. Fees after September 5^th are still $7.00 for the run or $3 more for the shirt option. Seaport Striders Club Members receive a $2 Discount! Mail Entry Form and check payable to: Seaport Striders, P.O. Box 20, Lewiston, ID. 83501

Course: There will be two different courses for all runners of varying degrees of ability. Choose either the 2-mile or 5-mile course.

Awards: Awards to overall male and female finishers.

Name: ___________________________________________________Phone: _____________________

Address: __________________________________ City: ____________________ St: ___ Zip: _______

E-mail: ____________________________________________ Gender: M F Age _____

Release, Waiver, Assumption of Risk & Indemnification:. In consideration of the acceptance of my entry, I do hereby acknowledge that I assume all risks resulting therefrom, and I do hereby, for myself, my heirs, my executors and/or administrators, waive, release, and forever discharge any and all sponsors and organizers, their officers, agents and assigns, the race director and volunteers from any and all liability arising from illness, injuries, or damages I may suffer as a result of my participation in the PUFFER BUTTE HUFF AND PUFF RUN. I understand that there will be no traffic control on the course and that I must watch for vehicles at intersections and on the roadway.

Signature:_________________________________________________________Date:______________

Parent/Guardian: ___________________________________ Date: __________ (applicants under 18)

Circle all that apply:

Event: 2 mile 5 mile

$ 17.00 - T-shirt and Run Circle Size: S M L XL(add $1) XXL( add $2 )

$ 7.00 - Run only

$ 3.00 - Late Fee for T-shirt entrants after Sept 5^th

$ 7.00 - Seaport Striders Club membership. Receive $2 discounts at club events!

$ -2.00 - Subtract $2.00 I am a member of the Seaport Striders Running Club!

$ 2.00 - Students 18 and under, run only

_____________ TOTAL

Non-Members are Welcomed too! Please Come!