Hatfield McCoy online2012

							                          Hatfield and McCoy Marathon/Half-Marathon
                                                           13th Annual       June 9, 2012



                                                                                                  REGISTRATION
                   Waiver of Liability
I know that running a road race is a potentially hazardous               Name:______________________________________
activity. I should not enter and run unless I am medically able
and properly trained. I agree to abide by any decisions of a
                                                                         Address:____________________________________
race official relative to my ability to safely complete the run. I
assume all risk associated with running in this event                             ____________________________________
including, but not limited to: falls, contact with other
participants, the effects of the weather, including high heat            Phone: (       ) - ______- _______________
and/or humidity, traffic, and the conditions of the road, all of
                                                                         Email:______________________________________
such risk being known and appreciated by me. Having read
this waiver and knowing these facts and in consideration of              Female__________ Male___________
your accepting my entry, I, for myself and anyone entitled to
act on my behalf, waive and release Tug Valley Road                      Age on Race Day: __________________
Runners Club, its officers       and agents,   Mingo and Pike
                                                                         Date of Birth_______/_______/____________
Counties, Town of Matewan, City of Williamson, all sponsors,
their representatives and successors, including the Road                 Shirt Size:         Small ____          Medium ____
Runners Club of America, its officers, directors, agents and                                 Large ____          X-Large ____
                                                                                                                                 Previous Best
employees, from all claims or liabilities of any kind arising
                                                                         Finish Time: Marathon (_____:____)
out of negligence or carelessness on the part of the persons             Check Race: ( ) Marathon or ( ) Half Marathon
named in this waiver. I grant permission to all the fore-going           Free Mini Marathon for Kids 12 & Under ( )
to use any photographs, video, recordings, or any record of
this event for any legitimate purpose.
                                                                                                  Marathon            / Half
                                                                         Entry Fee Before 01/01/12 $50.00            / $50.00
                                                                         Entry Fee After 01/01/12 $60.00              / $60.00
                                                                         Entry Fee After 04/01/12 $70.00              / $70.00
                                                                         Race Day Fee is $80.00
                                                                         (Entry Fee Includes Pasta Dinner & Post Race Dinner)
                                                                         (Dinners for Guest are $10.00 Each )
                                                                         (Tickets For Guest Can Be Purchased At The Dinners)
                                                                                    SORRY NO REFUNDS

                                                                         Do you plan to attend Pasta Dinner?   ( ) Yes ( ) No
                                                                         Do you plan to Attend Post Race Dinner? ( ) Yes ( ) No

                                                                         Make checks payable to: Tug Valley Road Runners Club
Signature____________________________                                    Mail to: Tug Valley Road Runners Club
                                                                                201 Central Ave
                                                                                South Williamson, KY 41503
Signature of Parent/Guardian (If under 18)
                                                                         FOR INFO CALL 606-625-5092
__________________________________                                       www.hatfieldmccoymarathon.com
                                                                         Email: tvrrc@hotmail.com

Date:______________________________