2008 Promise Land 50K Application

 

 

NAME_________________________________________   AGE  ______    SEX ______

 

ADDRESS_____________________________________

  

_____________________________________________

City                                     State                Zip

 

 

T- Shirt Size:   M      L      XL  (Please circle your choice)

 

 

OCCUPATION__________________________________

         

Phone:            Work (     ) _____________         Home (     ) _____________

 

  E-mail address  ____________________________@_____________________

 

Number of Ultras Run ______    Best 50K Time___________

 

I am planning on eating at Promise Land on Friday night. ____YES    _____NO                      If YES, how many people ______

Include $5.00/Person for Friday meal. This includes RUNNERS. 

 

I have been warned that the Promise Land 50K is a very difficult and possibly hazardous event and I am fully aware that I could be injured attempting such a run.  With this knowledge, I am accepting full responsibility for any harm I might suffer. I absolve all sponsors and organizers of the Promise Land 50K of any and all liability related to my attempt to run the Promise Land 50K.  I agree by signing this release that I am adequately trained and prepared for this endurance event.

 

Signed____________________________________________  Date ______________________

 

ENTRY FEE:  $65 postmarked by April 5 - $85 thereafter. THERE WILL BE NO REFUND OF ENTRY FEES.  Make check payable to Dr. David Horton and send entry to the address listed above.

 

Send to

 

 

** Receipt of Entry:

 

Upon receipt of entry, runners will be e-mailed a map and other race information.