Saturday,

July 17, 2010

8:00 a.m.

Sponsored by

——————————————————————————–ENTRY FORM ————————————————————————————

 

WAIVER AND RELEASE OF LIABILITY: I know that running/walking a road race is a potentially hazardous activity. I should not enter and run/walk unless I am medically able and properly trained. I assume all risks associated with running/walking this event including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, extreme cold, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your accepting my entry to participate in the great Wyoming Buffalo Stampede 5K/10K/ Run/Walk, I, for myself and anyone entitled to act on my behalf, waive and release the Downstate Delaware Striders and Riders, the Town of Wyoming, the State of Delaware, all volunteers, all sponsors, their representatives and successors from all claims or liabilities 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 named in this waiver. I hereby give my permission to the event organizers and sponsors to use my name and/or picture in any publication, broadcast, telecast or other account of this event without limitation or obligation of further compensation thereof. By signing this waiver and release I certify that I fully understand its significance.

 

Age Day of Race _____________      Sex:   M      F                   T-shirt Size:      S         M         L         XL

 

Print Name:________________________________________Email:___________________________________

 

Address: _____________________________________________________________________________________

(Street or P.O. Box)                                                             City                                                  State                   Zip

 

Phone: (           )___________________  Please Circle:          10K Run             5K Run              5K Walk

 

Signature:________________________________________________________________________________

(Signature of parent or guardian if entrant is under 18)

 

 

Please discourage unofficial entrants (bandits) from competing in our race. Bandits consume scarce resources and can delay or inhibit accurate race results. Unregistered runners, running with dogs, strollers, rollerblades, bicycles and the wearing of headphones are prohibited on the race course at any time to ensure the runners’ safety and to comply with the liability insurance standards.

Great Wyoming Buffalo Stampede 2010

5K & 10K

 The Best Little Race in America