Sponsored by Willamette Valley Road Runners

2012 CAPITOL MILE
~ A MILE TO BUILD YOUR YEAR ON ~

RUN/WALK  SUNDAY, JANUARY 1, 2012
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, West Salem HS cross-country and track teams

DAY of RACE REGISTRATION: $20, begins at 9am in the West Salem Courthouse Athletic Club

*** First 100 registrants receive a free 2012 Event Mug ***

MAJOR SPONSORS: WVRR, Capitol Auto Group, Courthouse Athletic Club, Great Harvest Bread, Gallagher's Fitness Resources,
Roth's, Jamba Juice

2011 Results

Preregistration must be received by 6 pm, Friday, Dec 30th.  Note fee increase after Dec 25th.                      
One entry form for each registrant. Please print NEATLY.

First Name ___________________   M  F
Age on 1-1-12  _____
                Circle one
Last Name _______________________
D.O.B. ___________

Address _________________________________________
City: __________________

State: ____ Zip: _________
Phone: ________________

Email: ___________________
Or, register online - Signmeup

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

Preregistration Fees (until 6 pm, Dec 30th)
____________ $10.00 (until Dec 25th)
____________ $8.00 (2011 WVRR Members)

____________ $20.00 (after Dec 25th - everyone)
____________ $20.00 (Day of Race)
Optional: Join or Renew WVRR for 2012
____________ $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)