Make Checks Payable To:
RunTIMERacing Services 3619 Byers Fort Worth,
Texas 76107
Entry fee $20.00 thru 10/31, $25 Nov 1, 2, 3
Mail to: Fort Worth Running Company
5800 Camp Bowie
Fort Worth, TEXAS
(For invited Elite Athletes)
Fax to 817-763-9161
Lancaster Mile Registration:
Last Name:________________________________________________
First Name:________________________________________________
City:__________________State:_____Zip: __________
E-Mail:_________________ Phone:_____________________________
Age:________Gender_________
Indicate: Police____ First ____ Military ____
Heat you plan to run:
First Responders_________ Masters Male & Female (40-49) _________
Open Female (18-39)______ Grand Masters Male & Female (50-59)____
Open Male (18-39) _______ Over 60 Male & Female ____________
Kids 14 & Under __________ High School Boys/Girls _____________
Elite Invitational Mile_______
T-Shirt: Youth____Medium____Large____x-Large____ XXL (Add $1.00)____
Waiver Statement:By
signing this form, I am aware
that participating in a program such as the
Lancaster Avenue Mile is a potentially hazardous activity, and that I should not so participate unless physically able. I verify that I am medically fit to participate. I assume all risks associated with participation in the training and any activities, including but not limited to, falls, contact with other participants, effects of the weather such as high heat and/or humidity, traffic, road conditions, all such risks being known and appreciated.
_________________________________________________________________________-
Signed (Parent or guardian if under 18)