THE RIB LAKE SKI & SNOWSHOE CLUB PROUDLY SPONSORS THE

Ice Age Days Velociraptor Run

Friday, August 8, 2008

Proceeds go to Trail Development

Start Time: 

6:00pm
Registration:  Old Rib Lake Village Hall
What: One Mile Walk / Run and Five Mile Run
One Mile Walk / Run Course starts and finishes in front of the Old Rib Lake Village Hall
  Cost:  $2.00 without t-shirt - $15.00 with t-shirt
Five Mile Run Course starts and finishes in front of the Old Rib Lake Village Hall
  Course is flat terrain around scenic Rib Lake on the UGH Trail
  Cost:  $5.00 without t-shirt - $15.00 with t-shirt
 
Awards for Age Groups and Overall Winners
Food and Refreshment Stands, Carnival Rides, Free Street Dance, and Numerous other activities located at the Finish Line area

ENTRY FORM - Please Print Clearly

Name:

Address:

City:                                                                State:                                                  Zip Code: 

Telephone:                                                    E-Mail Address:

Age:              Male:             Female:
1 Mile Walk / Run:   Cost:  $2.00 without t-shirt - $15.00 with t-shirt
            5 Mile Run:   Cost:  $5.00 without t-shirt - $15.00 with t-shirt
NO ENTRY WILL BE ACCEPTED WITHOUT SIGNATURE.  THIS ENTRY CONTAINS A RELEASE AND WAIVER.  SIGNING IT PRECLUDES ANY CLAIM FOR INJURY.  I KNOW THAT PARTICIPATING IN THE ICE AGE DAYS VELOCIRAPTOR RUN IS A POTENTIALLY HAZARDOUS ACTIVITY.  I SHOULD NOT ENTER AND PARTICIPATE UNLESS I AM MEDICALLY ABLE AND PROPERLY TRAINED.  I AGREE TO ABIDE BY AND DECISION OF A RACE OFFICIAL RELATIVE TO MY ABILITY TO SAFELY COMPLETE THE EVENT.  I ASSUME ALL RISKS ASSOCIATED WITH PARTICIPATING IN THIS EVENT.  HAVING READ THIS WAIVER AND KNOWING THESE FACTS, AND IN CONSIDERATION OF YOUR ACCEPTING MY ENTRY, I, FOR MYSELF AND ANYONE ENTITLED TO ACT ON MY BEHALF, FOREVER AND PERMANENTLY WAIVE AND RELEASE ANYONE CONNECTED WITH PUTTING ON THIS EVENT FROM ALL CLAIMS OR LIABILITY OF ANY KIND, ARISING OUT OF MY PARTICIPATION IN THIS EVENT, EVEN THOUGH THAT LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF THE PERSONS IDENTIFIED IN THIS WAIVER.  

Signature       Date

Signature       Date

                        If participant is under 18, parent or guardian must also sign.

Return To:     

Gary Thums
525 Lake Shore Drive
Rib Lake, WI 54470
(715) 427-3579

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