 |  |  |  |  |  |  |
| Cross Country Relay |
| Saturday, December 13, 2008 10:00 AM |
| Blue Mountain Reservation |
| Female – 3 runners per team – Fee $15 per team Male – 4 runners per team – Fee $20 per team All runners compete on the same 3+ mile course! |
| Awards for male and female teams in the following categories: High School, Open and Master. Mixed teams are allowed but are scored with the men’s teams. Pancake breakfast after race – Showers available at the Lodge |
| Race Director: |
| Bill Foley (914) 736-7873 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| Category: _______High School ________Open _________Masters |
| Team Name: _______________________________ Sex: M F Mixed |
| Members of team (In Order of running, Print clearly) |
Name Age Signatures of team members
(Parent’s signature if runner under 18)
1. _________________________________ ____ ______________________________
2. _________________________________ ____ ______________________________
3. _________________________________ ____ ______________________________
4. _________________________________ ____ ______________________________
(Parent’s signature if runner under 18)
1. _________________________________ ____ ______________________________
2. _________________________________ ____ ______________________________
3. _________________________________ ____ ______________________________
4. _________________________________ ____ ______________________________
I know that running a road/cross country race is a potentially hazardous activity. I should not enter and run unless I am
medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete
the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other
participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks
being known and appreciate by me. Having read this waiver and knowing these facts and in consideration of your accepting my
entry, I, for myself and anyone entitled to act on my behalf, waive and release the Taconic Road Runners Club, and 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 of negligence or carelessness on the part of the persons named in this waiver. I grant permission
to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate
purposes. I understand that bicycles, skateboards, baby joggers, roller skates or blades, animals, and radio headsets are not
allowed in the race and I will abide by this guideline.
medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete
the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other
participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks
being known and appreciate by me. Having read this waiver and knowing these facts and in consideration of your accepting my
entry, I, for myself and anyone entitled to act on my behalf, waive and release the Taconic Road Runners Club, and 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 of negligence or carelessness on the part of the persons named in this waiver. I grant permission
to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate
purposes. I understand that bicycles, skateboards, baby joggers, roller skates or blades, animals, and radio headsets are not
allowed in the race and I will abide by this guideline.
| Entry Fees nonrefundable |
| Make checks payable to: TRRC PO Box 711 Shrub Oak, NY 10588 |