2008 Promise Land 50K Application
NAME_________________________________________ AGE ______ SEX ______
City State Zip
T- Shirt Size: M L XL (Please circle your choice)
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.
|Dr. David Horton|
|1971 University Blvd.|
|Lynchburg, VA 24502|
** Receipt of Entry:
Upon receipt of entry, runners will be e-mailed a map and other race information.