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Otherwise, use the form below. Thanks!

Winter Run Entry Form          

Last Name_________________________ First Name___________________                

Address________________________________________________________    
                                              
City_______________________  State_____   Zip _____________

Phone(____) ____ ______     Email__________________________________         

Sex:      Male         Female                  Age on race day_________

Event:   15 Mile     3 Mile           Are you a CRRC member?   Yes      No

Waiver:  I agree that by participating in this physical activity, program or event (the "Event"), by using any Event facility or Event premises, I do so at my own risk. I agree I am voluntarily participating in the Event and using Event facilities or premises and assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property.  I hereby consent to medical treatment in the event of injury, accident and/or illness during the Event.  I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge Columbus Running Company, the Columbus RoadRunners Club, and all Event sponsors from any and all claims or causes of action (known or unknown) arising out of their negligence.    I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a release of liability.  By my signature below, I am waiving any right that I (my personal representatives, heirs, executors, administrators, agents and assigns) may have to bring legal action to assert a claim against Columbus Running Company, and all Event sponsors for their negligence. 

Signature______________________________________________  Date____________

Guardian Signature (If under 18)______________________________ Date_________

Please make checks payable to Columbus RoadRunners