Name: 

      Address: 

         City: 

        State:    Zip: 

        Phone: 

Date of Birth:    Age on race date: 

       Gender: M F

   Shirt Size: M L XL

        Event: $30 Half Mara. $20 5K $25 for 5K After 2/4.

Waiver Must Be Read and Signed Before Mailing:

I know that running a road race is a potentially hazardous activity which could cause injury or death. I should not enter and run unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, am in good health, and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. 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 heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, babyjoggers, roller skates or blades, animals, and radio headsets are not allowed in the race and I will abide by this guideline. 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 Half Marathon Committee and their representatives, successors and assigns, Anheuser-Busch, the City of Williamsburg, The College of William & Mary, James City County, The Colonial Williamsburg Foundation, Peninsula Track 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 out 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 purpose. No partial or full refunds.

_______________________________  _____________ _____________________________________

Signature                        Date          Parent's Signature if under 18

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