2015 Trail Run entry form

5–MILE TRAIL RUN/HIKE (ages 10 and up) Runners and hikers begin at 9:30 a.m.
SHIRT OPTIONS (addi)onal cost, pricing on back of form)
1-MILE TRAIL RUN/HIKE (ages 6—12)
TOT TROT (ages 5 and under)
FREE KIDS ZONE featuring Hoosier Heights Climbing Wall, bounce
house, cra&s, games & more!
HOPSITATLITY TENT (for race par)cipants)
LOCATION
HOLLIDAY PARK
6363 Spring Mill Road, Indianapolis
Race headquarters in Nature Center
FULL EVENT DETAILS AND REGISTER ONLINE
www.tuxbro.com
Entry Informa%on
- Entries over the phone will not be accepted
- Waiver must be signed in order to process entry form
and par)cipate
- No entry fee refunds or transfers
- No dogs allowed
- Field is limited.
QUESTIONS
317-475-9482 OR 317-327-7180, ENTRIES WILL NOT BE ACCEPTED OVER THE PHONE
Event managed by:
FRIENDS OF HOLLIDAY PARK THANKS OUR SPONSORS AND SUPPORTERS
PREMIER SPONSORS
SPONSORS
SUPPORTERS
Anonymous / Athle)c Annex / Barry Company, Inc. /
Duke Realty / Ed & Kathy Fry/ G. Thrapp Jewelers /
Ruthie & Doug Linsmith / Tyson Onsite
ONE PARTICIPANT PER ENTRY FORM PLEASE. FIELD IS LIMITED. PHOTOCOPIES ACCEPTED
ENTRY FORM
FIRST NAME
LAST NAME
SEX (M/F)
AGE ON RACE DAY
EVENING PHONE
EMAIL ADDRESS
STREET ADDRESS
CITY STATE ZIP
DAYTIME PHONE
NEED CHILD CARE?
NUMBER OF CHILDREN _______
FOR PAYMENT BY CREDIT CARD
(VISA OR MASTERCARD ONLY)
AGES____________ (MUST BE 2 YEARS AND OLDER)
CREDIT CARD NUMBER
EXP. DATE
CVV CODE
SIGANTURE
CHILDREN’S RACES
CHECK THE APPROPRIATE BOX
5– mile Trail Run/Hike Entry Fee (does not include shirt)…………………..$25
1-MILE Trail Run/Hike ages 6 –12 (includes short sleeve shirt)
Youth S M L XL……………………………………………………………………...$15
SHIRT OPTIONS (addi)onal cost / no exchange of sizes at packet pickup)
Tot Trot ages 5 and under………………………………………………………………....FREE
Dry Blend White Long-Sleeve / Unisex Adult
S M
L XL
XXL…..$15
Addi)onal Short-sleeve youth t-shirt/ Youth
Short-sleeve LIME GREEN tech shirt
Women’s S M L XL XXL Men’s
S
M
L
XL …………..$12
XXL…….$25
I would like to make a dona)on to Friends of Holliday Park ……..$_______
Addi)onal Cost for each XXL………………………………………………………………..$2
TOTAL………………………………………………………………………………………$___________
S
M
L XL
I have read THE Holliday Park Trail Run entry form completely and understand
the policies of the event. I know that par)cipa)ng in a Trail Run is a poten)ally
hazardous ac)vity and will require running/hiking across rugged, uneven terrain,
barriers, and other obstacles. I should not par)cipate unless I am medically able.
I understand the nature of, and assume all risks associated with, my voluntary
par)cipa)on in this event, including extreme temperatures and precipita)on,
and traffic. Knowing these facts, I for myself, heirs, executors, administrators or
anyone else who might claim on my behalf, covenant not to sue and WAIVE,
SIGNATURE OF PARTICPANT
DATE
RELEASE, AND DISCHARGE Friends of Holliday Park and any and all sponsors
affiliated with the 2015 Holliday Park Trail Run, Tuxedo Brothers, Inc., race officials, workers or volunteers, their representa)ves, successors or assigns for ANY
AND ALL claims to liability, whether seen or unforeseen, for death, personal
injury or property damage arising out of, or in the course of, my par)cipa)on in
this event. I further grant full permission to the Friends of Holliday Park and/or
agents authorized by them to use any photographs, video tapes, mo)on picture
or other record of the event for any reasonable purpose.
SIGNATURE OF PARENT OR GUARDIAN
(FOR PARTICIPANTS UNDER 18 YEARS)
DATE