2010 Zena Road Runs Entry Fee: $7.00 on or before Feb 4, $10 after Feb 4
(Checks payable to: W.V. Road Runners)
Mailing Address: GFR; Attn: Zena Runs; 135 Commercial
St NE, Salem, OR 97301
Name: (print) ____________________________________
Race: __15K __6 mile __3 Mile
Address: ______________________________________
City:______________ State:_____ Zip:_____________
Phone: _________________
Age: _____ Sex: __M __F
Waiver:
I know that running a road race is a potentially hazardous activity. I should not enter
and run 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 Run. I assume all risks
associated 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. 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 Polk County, Marion County, the City of Salem, the Willamette Valley Road
Runners, and all other sponsors, their representatives, and successors from all claims or
liabilities of any kind arising out of my participation in this event. I grant permission
to
all of the foregoing to use any photograph, motion picture, recording, or any other record
of this event for any legitimate purpose. I also understand that the entry fee is
non-refundable. No one may enter this event without signing this official waiver!
Signature: __________________________________________________________ Date:
________________________
If under 18 years of age, parent signature required:
Signature of Parent: __________________________________________________ Date: ______________________________