1. Healthcare

Saturday, April 25, 2015
Edgewater Park – Cleveland, OH
Entry Form: Please complete one form per person. Mail-in forms must be received by Tuesday, April 7, 2015
EVENT:  10 MILE RACE (Individual Event)
 2 Person Relay – Team Name: ______________________
First Leg  Second Leg 
Would you and your partner like to take the Shuttle Service?  YES NO
Women’s Tech Size:  XS  S  M  L  XL
Men’s Tech Size:  S  M  L  XL  XXL
Name____________________________________________ Age on Race Day___________ DOB___/___/___
Address__________________________________________________________________________________
City_______________________________ State _________ Zip Code _________________ Sex:  M
F
Phone ___________________________________ E-Mail Address ___________________________________
REGISTRATION FEES:
Cleveland 10 Miler
2 Person Relay (5 Mile Legs)
Until January 1, 2015
$35
Until January 1, 2015
$70
January 2 – March 13
$45
January 2 – March 13
$90
March 14 – April 7
$55
March 14 – April 7
$110
April 8 – April 23 (if available) $70
April 8 – April 23 (if available)
$140
NO RACE DAY REGISTRATION
NO RACE DAY REGISTRATION
Make check payable and mail to: HERMES SPORTS & EVENTS, 2425 W 11th Street, Cleveland, OH 44113
Participant Signature (Parent/Guardian if under 18) _______________________________________
Hermes Cleveland 10 Miler ENTRY FORM: In consideration of your acceptance of this entry, I hereby, for myself, heirs, executors and administrators, waive, release and discharge Hermes
Sports & Events, Cleveland Metroparks and all sponsors of the Hermes Cleveland 10 Miler including any agents, representative or employee of, from any and all of the claims, demands or
causes of action I may have resulting from or arising out of my participation of this event. I agree to indemnify and hold all of the above mentioned harmless for any injury suffered or
alleged to be suffered in connection with this race. I acknowledge the awareness and complete assumption of responsibility for the risks involved in participation of this event and I
understand the terms of this release. I also attest that I am physically fit and have sufficiently trained to compete in this event. I give my full permission to Hermes Sports & Events, Inc.
and their sponsors and corporate partners to use any photographs, videotapes, audiotapes or other recordings that are made during the course of this event.
Registration Entry is non-transferable and non-refundable