Harriers 10-mile Handicap Entry Form

Please enter your email address carefully. You will be emailed confirmation of your entry along with your handicapped starting time which will be sometime between 9:00 am and 10:00 am.

Club or Team

The following information will allow us to assign your handicapped starting time:

Did you run any Frontrunners Island Race Series races in 2010 or 2011?
Yes or No

If not, what do you consider your best race performance(s) between January 2010 and May 2011?
Race	Distance	Time
1.
2.
3.

Failing any of that, what do you believe is the best time you could have run for 10K at any time between January 2010 and May 2011?
Estimated 10K Time:

	By submitting this information I agree that I have read, understood, and agree to the conditions set forth in the athlete's waiver below. The box to the left must be checked as an electronic signature for this entry to be accepted. The athlete's parent or legal guardian must read and agree to the terms of the waiver and electronically sign if the athlete is under 19 years of age.

Athletes Waiver: In consideration of your accepting this entry I hereby, for myself, my heirs, executors, administrators, waive and release any and all rights or claims to damages I may have against the organizers holding this race, their agents, representatives, successors and assigns, and the race sponsors for any and all injuries I may sustain during the course of the event. I have trained for and am physically prepared to participate in this event.

13th Annual Prairie InnBoxing Day 10-mile Handicap Run

Monday, December 26, 2011First runners start at 10:00 a.m.

Entry Form

13th Annual Prairie Inn
Boxing Day 10-mile Handicap Run

Monday, December 26, 2011
First runners start at 10:00 a.m.