2011 HTC Winter Winds Road Races Entry Form Page
Please clip out the entry form and mail with the appropriate fees. Please print legibly and complete fully.
Incomplete or illegible applications may not be accepted. See you on race day. Good luck.
Individual Entry Form - Winter Winds Road Races
Name: (first)_________________________(last)_____________________________ Male Female
Address:____________________________________________________________
City:_________________________ State:_________ Zip code:___________
Telephone:____________________ Age on Race Day:________ Birthdate:___________
HTC Member: Yes No
T-Shirt: Yes No
Select T-Shirt Size (adult sizes): S M L XL Youth Medium Youth Large
Select Race Distance: 2 mile 4 mile Fun run
Race Waiver: I, individually, (and/or as parent, and/or guardian of the named minor) for and in consideration of acceptance of this entry in the aforementioned event, do hereby release, remise, waive, and forever discharge the Road Runners Club of America, Huntsville Track Club and any and all other supporting groups of this said racing event, together with all their officers, agents, officials and employees, from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of, or relating to any injury, illness, loss, or damage, including death, relating to participation in the aforesaid event. I further state I am in proper physical condition to participate in this event. In addition, I agree that my participation in this event requires that I will not participate with roller blades, baby joggers, skateboards, animals, headphones, or anything which the race director deems dangerous to myself or other participants and that the race director may remove me from this event for a violation of said policy. I further grant permission to this race and the organization conducting the race and/or agents authorized by them to use any photographs, videotapes, motion picture, recordings and any other record of this event for any purpose. I also agree that all entry fees are non-refundable and that this entry is non-transferable.
Signature:________________________________________________________
(Parent/Guardian if under age 19 )
Date:______________
Mail application to:
Winter Winds Races
106 Lacebark Drive
Toney, AL 35773
Make checks payable to the Huntsville Track Club.
Please clip out the entry form and mail with the appropriate fees. Please print legibly and complete fully.
Incomplete or illegible applications may not be accepted. See you on race day. Good luck.
Individual Entry Form - Winter Winds Road Races
Name: (first)_________________________(last)_____________________________ Male Female
Address:____________________________________________________________
City:_________________________ State:_________ Zip code:___________
Telephone:____________________ Age on Race Day:________ Birthdate:___________
HTC Member: Yes No
T-Shirt: Yes No
Select T-Shirt Size (adult sizes): S M L XL Youth Medium Youth Large
Select Race Distance: 2 mile 4 mile Fun run
Race Waiver: I, individually, (and/or as parent, and/or guardian of the named minor) for and in consideration of acceptance of this entry in the aforementioned event, do hereby release, remise, waive, and forever discharge the Road Runners Club of America, Huntsville Track Club and any and all other supporting groups of this said racing event, together with all their officers, agents, officials and employees, from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of, or relating to any injury, illness, loss, or damage, including death, relating to participation in the aforesaid event. I further state I am in proper physical condition to participate in this event. In addition, I agree that my participation in this event requires that I will not participate with roller blades, baby joggers, skateboards, animals, headphones, or anything which the race director deems dangerous to myself or other participants and that the race director may remove me from this event for a violation of said policy. I further grant permission to this race and the organization conducting the race and/or agents authorized by them to use any photographs, videotapes, motion picture, recordings and any other record of this event for any purpose. I also agree that all entry fees are non-refundable and that this entry is non-transferable.
Signature:________________________________________________________
(Parent/Guardian if under age 19 )
Date:______________
Mail application to:
Winter Winds Races
106 Lacebark Drive
Toney, AL 35773
Make checks payable to the Huntsville Track Club.
