2015 Bridle Trails Winter Running Festival 5 miles, 10 miles, 50 km solo, and 50 km team relay or pairs When: January 10th, 2015, 3:00 pm Where: Bridle Trails State Park, Kirkland, WA. NAME___________________________________________________________ Sex: F______ M______ TEAM NAME (if part of Pair/Team Relay) _______________________________________________________ ADDRESS______________________________________________ CITY ________________________ STATE/PROVINCE _______ ZIP____________ EMERG PHONE ( ) _________________________ E-MAIL ____________________________________________________ AGE on RACE DAY_________ Day of Race Registration: 1:30 pm to 2:30 pm. Bib number pickup for everyone will be at Bridle Trails State Park on the day of the race. Prices go up to $25 for 5mi, $30 for 10mi, $50 for 50km solo, $75 for 50km pair, $90 for 50km team. Please check below which race you will be doing. 5 Miles____ Entry fee: 10 Miles____ 50km Solo____ Each Relay Member needs to fill out an entry from – attach together. 50km Relay: Pair____ or Team [3-6 runners] ____ 5 miles:……………………………………$16.43 ($15 race fee + $1.43 WA state sales tax) 10 miles:……………………………………$21.90 ($20 race fee + $1.90 WA state sales tax) 50 km Solo:……………………………….. $32.85 ($30 race fee + $2.85 WA state sales tax) 50 km Pair Relay:………………………… $49.28 ($45 race fee + $4.28 WA state sales tax) 50 km Team Relay (3-6 people):……….. $65.70 ($60 race fee + $5.70 WA state sales tax) Total enclosed $_________(Make checks payable to Seattle Running Club). Or pay by credit card (CC is charged with PayPal Here Credit Card Reader and then CC info destroyed. You will receive an emailed receipt.): Card No. Expiration Date CVV WAIVER: In consideration of my 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 the organizers and supporters of the event, Seattle Running Club, Northwest Trail Runs, Washington State Parks and any sponsors or volunteers, while participating in or traveling to or from the Bridle Trails Winter Trail Running Festival. *Presented by Seattle Running Club. Signature ______________________________________________ Date___________________ Mail your completed form with check or money order by 1/5/15 to be received by 1/8/15 to: Seattle Running Club 7357 29th Ave SW Seattle WA 98126 e-mail: [email protected] / website: http://www.seattlerunningclub.org/BTWRF
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