American Discovery Trail Marathon

Official Entry Form

September 2nd, 2002 (Labor Day)

Start Time: 7:00 AM MDT

 Personal data (Please print.)

Last Name: ___________________________First: _____________________Middle: _______________________

Street Address: ___________________________________________________________

City:___________________________________ State:______________Country:_____________Zip: ___________

Email: ________________________________________Telephone: (daytime)_______________________________

Gender: Male_ Female (circle) Birthday: ____/____/____ (m/d/yy) Age on 9/3/2001 __________

Shirt size: Medium _Large_ Extra Large_ (circle one)

Expected finish time:_____________hours_________________ minutes Will you be riding the bus?____________

Comments on why you are entering ADTM (for race publicity):

 

Liability waiver and agreement 1. I understand and assume all risks of injury to my person which may occur while competing in the above named race organized by the American Discovery Trail Marathon Event Management Club, and I, for myself and for my heirs, executor, administrator, personal representative, and assigns, do hereby and forever waive and release all rights and claims for direct or indirect damages or losses, whether monetary or otherwise compensatory which I may have against any and all individuals, committees, corporations, groups, or other entities in any capacity associated with the race. I further agree now and forever to hold the ADTM Event Management Club, the Trails and Open Space Coalition (TOSC) of the Pikes Peak Region, the Southern Colorado Branch of the Arthritis Foundation, El Paso County Parks and Leisure Services, City of Colorado Springs Parks and Recreation Department, the Pikes Peak Road Runners, or any other organization harmless and indemnify them for all claims, damages, judgments, costs of whatever nature and form. 2. I attest that I am in good physical condition and mentally capable of participating in the above named race. 3. I hereby grant full permission to use my name, picture, or likeness on any media or form and any other record of my participation in above named race for any publicity and/or promotional purpose(s) without obligation to me or my successors, assigns, et al., or liability by the publisher or promoter. 4. I agree not to bring or otherwise have animals on the course. I understand that the race entry fee paid by or for me is not refundable unless entry is refused by the registrar.

Signature of applicant__________________________________________Date________________________

Parent/Guardian signature (if under 18)____________________________________________________

(The American Discovery Trail Marathon organizing committee would like to recognize those runners who use this race as an opportunity to raise money for our two benefactors through soliciting donations through pledging. Please have donors write their checks to ADTM. The proceeds will directly benefit the Southern Colorado Branch of the Arthritis Foundation and Pikes Peak Trails and Open Spaces Coalition (TOSC) of the Pikes Peak Region. Please submit your completed Pledge Forms prior to race day to race headquarters )

Pledge Form (Please print.)

Runner’s name:_______________________________________________________________________________

Runner’s address:_____________________________________________________________________________

City/State/Zip Code:___________________________________________________________________________

Telephone Number:____________________________________________________________________________

E-mail address:________________________________________________________________________________

Pledge maker’s name(s):________________________________ ------------________________________________

Pledge maker’s address(es):_____________________________ -------------________________________________

City/State/Zip Code:___________________________________ -------------_______________________________

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