Stay in the Shade - 11.08.2009 - Highland Trail Run
Print out the form and send it with a check for $17 before October 1st, $20 before
November 6th (form and check must be received by November 6th)

1240 Castlewood, White Lake, MI 48386 (Make all checks out to Stay in the Shade)
 

4.8 Mile Run         or         2 Mile Hike (circle one)
 

Name: First _________________________________ Last ___________________________________
 

Address: Street __________________________________________ City _______________________
 

State ____ Zip _______________
 

Email: ________________________________(please print neatly) Phone Number: __________________
 

Age (as of 11/08/2009): ______
 

Male         or         Female (circle one)
 

Waiver
I know that trail running is a potentially dangerous activity. I should not participate in trail runs unless I am
medically able and properly trained. I agree to abide by any decision of an event official relative to any ability
to safely complete the run. I assume all risks associated with participating in this trail run, including but not
limited to, following course markings, falls, contact with other runners, the effects of the weather, the
conditions of the roads and trails, and traffic on the course, all such risks being known to and appreciated by
me. Having read this waiver and knowing these facts, and in consideration of acceptance of my application for
Stay in the Shade's activities, I, for myself and anyone entitled to and on my behalf, waive and release Stay in
the Shade and all sponsors, their representatives and successors, from all claims or liabilities of any kind arise
out of negligence or carelessness on the part of the persons named in this waiver. I attest that I am physically fit
and sufficiently trained for this trail run. I grant full permission to Stay in the Shade to use photographs,
videotapes, and recording of me, or any other record of this event, including written comments or articles by
me, for any legitimate purpose. I understand that the entry fees are non-refundable. As part of this wavier, I
acknowledge that I have read and understand all of the above.
 

I agree
Signature _________________________________________________ Date ___________________
(All participants must agree to wavier.)