Email: ___________________________________

Check one   T-shirt ____________  Singlet________

size:   CS __CM__  CL__  S__   M__   L__   XL__     Event     circle one     10K Run          5k Walk     Straight Away Mile       Fun Run

I, have signed this entry form intending to be legally bound, hereby for myself, my heirs, executors, and administrators and release any and all rights and claims for damages I might have against the River to River Runner’s Club and the Race Committee, and officials and other sponsors of this event and their representatives for any and all injuries suffered by me in the event. I attest that I am physically fit and have sufficiently trained for the event and a licensed medical doctor has verified my physical condition. Furthermore, I hereby grant full permission to any and all of the foregoing to use my photograph or any other record of this event for any legitimate purpose. This entry is invalid unless signed by the entrant. If entrant is under 18 years of age then entry must be signed by parent/guardian. The official race director reserves the right to reject any entry.

Signature:__________________________Date: ___________Parent/ Guardian if under 18: ________________________________________________

Make check payable to River to River Runners                            Mail to      Janet Bixler P.O. Box 34  Eldorado, IL 62930    618-273-9596

$12.00 if registered by May 25 2008                            $15.00 late or race day.     Youth fun run  $6.00