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PLEASE DO NOT USE THIS FORM AT THIS TIME

More information will be forthcoming regarding this online application form. Please be patient. Thank you.

Liability Waiver and Release: Upon acceptance of my entry, I, for myself, my heirs and assigns do hereby release Bethel Rural Community Organization, Inc., Bethel Schools, race sponsors, officials and volunteers from any and all liability arising from illness, injury or death that I may suffer as a result of my participation in either the Half Marathon or 5K Race. I attest that I am physically able and sufficiently trained for the race, which I am entering, and that I am aware that participation could result in physical injury. I grant permission for photos, motion pictures, recording or any other record of the events for any legitimate purpose. I agree to accept as final the decisions of the race officials.

What race do you wish to enter?	Half Marathon 5K
Last Name:
First Name:
City:
State:
Zip Code:
Phone:
Email Address:
Please enter your birthdate:
What will be your age on 10/11/08?
Sex:	Male Female
What is your T-shirt size?	S M L XL XXL
Please enter an emergency name and contact information.
Do you or your guardian accept the liability waiver and release as written at the top of this application?	Yes No

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