Sponsored by Willamette Valley Road Runners

2010 CAPITOL MILE
~ A MILE TO BUILD YOUR YEAR ON ~

RUN/WALK  FRIDAY, JANUARY 1, 2010
Women's Race 10:00am    Mens Race 10:20am
Wallace Marine Park, West Salem, Oregon

The 1 mile out and back course begins on Glenn Creek Road at the entrance to Wallace Marine Park.

Awards : Overall M/F, Overall M/F Masters and 5 yr age groups (14 & under to 80+)
***Event proceeds support the Annual WVRR Kelsy Oldham Memorial Scholarship ***

DAY of RACE REGISTRATION: $12, begins at 9am in the West Salem Courthouse Athletic Club

MAJOR SPONSORS: WVRR, Gallagher Fitness Resources, Roth's, Courthouse Athletic Club, Great Harvest Breads,
OSU Federal Credit Union, Jamba Juice, Capitol Auto Group

2009 Results
Preregistration must be received by Thursday, Dec 24th.                            
One entry form for each registrant. Please print NEATLY.

First Name ___________________   M  F
Age on 1-1-10  _____                 Circle one
Last Name _______________________
D.O.B. ___________
Address _________________________________________
City: __________________
State: ____ Zip: _________
Phone: ________________
Email: ___________________
Or, register online - registration closed

         Mail to:
Willamette Valley Road Runners
PO Box 4002
Salem, OR 97302

Preregistration Fees
____________ $10.00 (until Dec 24th)
____________ $8.00 (2010 WVRR Member)
____________ $12.00 (after Dec 24th - everyone)
Optional: Join or Renew WVRR for 2010
____________ $20 Individual
____________ $30 Family
____________  TOTAL

OFFICIAL WAIVER: I know that by participating in a road race is a potentially hazardous activity. I should not participate unless I am   medically able and properly trained.
I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with other participants, the effects of the
weather, including chilling conditions, high heat and/or humidity, traffic and the conditions of the road/trail, all such risks being known and appreciated by me. Having read this |
waiver and knowing these facts and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release the State of Oregon
(ODOT), Polk County, City of Salem, Willamette Valley Road Runners, and all other sponsors, their representatives and successors from all claims and liabilities of any kind
arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, video, recordings, or any other record of this event
for any legitimate purpose. Parents must sign if participant is under 18 years of age. I also understand entry fees are non-refundable

SIGNED _____________________________________ DATE ________________________________

____________________________________________
PARENT OR GUARDIAN (if participant is under age 18)