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Maxon Meadow Challenge – Obstacle Run at WHS

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cross country

Microsoft Word – MaxonMeadowChallenge

 

Maxon Meadow Challenge Saturday July 15, 2017 8:00am 500m/1000m/1500m/3000m Obstacle Course Fun Run Western Runners Club Join us at the inaugural Western Runners Club obstacle course fun run! Obstacles are designed for kids, but all ages are welcome! Varying distance including 500m/1,000m/1,500m/3,000m. ————————————————————————————————————————————— FIRST NAME____________________LAST NAME________________________________________ STREET ADDRESS_____________________________________________________ CITY______________________________________ STATE____________________________zip____________ DATE OF BIRTH mm/dd/yy _______/_______/________ SEX (CIRCLE ONE) M F SHIRT SIZE (CIRCLE ONE) YS YM S M L XL ENTRY FEES: $20 POSTMARKED BEFORE 07/10 $25 RACE DAY ENTRANTS***PLEASE NOTE*** NO SHIRT SIZE IS GUARANTEED FOR ENTRIES RECEIVED AFTER JULY 10th. PLEASE READ AND SIGN THE PARTICIPATION WAIVER BELOW I know that running [volunteering for] a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and headsets are not allowed in the race and I will abide by this guideline. Having read this waiver ad knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Maxon Meadow Challenge, the city of Parma, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Signature (parent or guardian required if under 18) ______________________________________________________ Date_________________________________________________ Questions? Email Taylor @ Taylor.Belote@wsdpanthers.org • PACKET PICK UP: Western High School, Parma MI 49269 — Registration will be located across from the Western Baseball fields in the parking lot. • Event Location parking/directions: 7782 E. Michigan Ave. Parma, MI (Michigan Ave Entrance to Western Schools Campus) PLEASE COMPLETE THE FOLLOWING APPLICATION AND MAIL IT WITH YOUR • CHECK PAYABLE TO: Western Runners Club • MAIL REGISTRATION AND CHECK TO: Western Athletic Department Atten: Taylor Belote 1400 S. Dearing Rd. Parma, MI 49269 Registration form can be emailed to taylor.belote@wsdpanthers.org