Print the following application if you are interested in participating!


SEND PRE-RACE APPLICATIONS TO THE RACE DIRECTOR:
Nancy Specht
227 Hyslip Ford Road
Bunker Hill, WV 25413

Postal replies only, please.
We are not equipped for electronic commerce at this time.
However, don't hesitate to e-mail Nancy anytime
with your Turkey Trot questions.

Please Print!
NAME: ___________________________________________________________________________________


ADDRESS: _______________________________________________________________________________


_________________________________________________________________________________________

PHONE: (_______)________-______________ EMAIL: _______________@________________________

SEX: F_______M_______(CHECK ONE) AGE AS OF 11/22/14: ___________

WHICH RACE: 2 MI________4 MI________6 MI________(CHECK ONE)

If you want a t-shirt indicate size (Youth L, S, M, L, XL) and include an extra $8. Size:_____

RELEASE: IN CONSIDERATION OF YOUR ACCEPTANCE OF MY ENTRY, I DO HEREBY RELEASE THE SPONSORS OF THE BERRYVILLE TURKEY TROT RACES AND THE SHENANDOAH VALLEY RUNNERS AND CLARKE COUNTY SCHOOLS AND CLARKE COUNTY PARKS AND RECREATION, JOINTLY AND SEVERALLY, FROM ANY AND ALL LIABILITY FOR ILLNESS, INJURY, AND DAMAGES I MAY SUFFER AS A RESULT OF MY PARTICIPATION IN THIS EVENT. I KNOW THAT RUNNING A ROAD RACE IS A POTENTIALLY HAZARDOUS ACTIVITY AND THAT I SHOULD NOT ENTER AND RUN UNLESS I AM MEDICALLY ABLE AND PROPERLY TRAINED. I UNDERSTAND THE SPONSOR MAY USE MY NAME IN THE PUBLICITY AND PROMOTION OF THIS EVENT WITHOUT OBLIGATION OR LIABILITY TO ME.


SIGNATURE:__________________________________________________________
(parent or guardian if under 18)

ENTRY FEE: $10.00 - Student pre-registration AND Student Race Day registration
$13.00 - Pre-registration; $10.00 - SVR member pre-registration; Pre-registration closes November 15.
$15.00 - Race Day registration for all except students

PLEASE MAKE CHECKS PAYABLE TO
BERRYVILLE TURKEY TROT

Now trot on home. :-)