2008 Marion Arts Festival 5K Run/Walk

Official Entry Form (1/16/08)

First Name _______________________________________________________

Last Name _______________________________________________________

Address _________________________________________________________

City _____________________________ State _______ Zip ________________

Phone ___________________________________________________________

E-mail ___________________________________________________________

Race day age: ____________ Sex: M_______ F________

Race: 5K Run _________ 5K Walk ___________

Clydesdale: Male 185+ lbs. ________ Athena: Female 140+ lbs. __________

Team Name (Three person): ________________________________________

Team Division: Middle School ___ High School ___ Corporate ___ Open ___

T-Shirt Size: S_______ M_______ L______ XL______ XXL______

Entry Fees are non-refunable
Until March 22^nd	$15.00
March 23^rd to May 16^th	$20.00
Race day May 17^th	$25.00
Mail and make check payable to: Marion Arts Festival 5K
1225 6^th Avenue, Suite 100, Marion, IA 52302

In consideration of your acceptance of this entry, I for myself, my heirs, my executors, and administrators and assignees, forever release and discharge any rights, demands, claims for damages, and callers of suit or action, known or unknown, that I may have against the City of Marion, Linn County, The Marion Chamber of Commerce, The Marion Arts Festival, The Cedar Rapids Area Chamber of Commerce and any and all participating event sponsors and the directors, officers, employees, and agents of such parties, for any and all injuries resulting from my participation in the Marion Arts Festival 5K Run/Fun Walk, that I assume those expenses in the event of an accident, illness, or other incapacity regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in this event. I release the rights to any and all photographic materials and computer information the race committee may release from this event without obligation to me. I understand that this event is utilizing a chip timing system to produce its results and that I will be loaned a timing chip/strap for use during this event. I accept the responsibility of returning the chip/strap to the event organizers and I further agree to pay $50 if the chip/strap is not returned upon completion to this event.

Date: __________________ Signature: ______________________________________

If under 18 years old, signature of parent or guardian: ________________________________