Baker Lake 50K Trail Run Entry Form

Entry Form

First Name:

Last Name:

Street Address:

City: State: Zip:

Daytime Phone: Evening Phone:

E-Mail Address:

Sex: M F Age Day of Race:

This will be my 5th time to finish the Baker Lake 50K Trail Run (click here for more info)
7:00 am start (for runners needing an additional hour before race closes at 4:00 pm)

Shirt Size: S M L XL XXL No Shirt

ENTRY FEE
(payable to Baker Lake 50K):

$35 registration fee with no shirt; $45 if received after August 27
$55 registration fee with dri-release shirt (received by August 27)

ENTRY FEE IS NON-REFUNDABLE

In consideration of acceptance of this race entry, I hereby agree to comply with the rules, considerations, and regulations of the event and instructions of the race director. I am aware that an ultramarathon run is difficult and hazardous for even well conditioned athletes under the most favorable conditions. I hereby attest and certify that I am physically fit and sufficiently trained to participate in this race. I hereby for myself, my heirs, executors, administrators, and assignees, forever waive, release and discharge any and all rights, claims for damages and causes of suit or action, known or unknown, that I may have against the race director, Puget Sound Energy, the United States Forest Service, sponsors, municipalities, and any and all participating directors, employees, volunteers, and agents of such parties for any and all injuries in any manner arising or resulting from my participation in this race. I attest and verify that I have full knowledge of the risks, that I will assume and pay my own medical and emergency expenses in the event of accident, illness, or other incapacity, regardless of whether I have authorized such expenses. I understand the race director can refuse participation in this event.

Signature:_______________________________________________________________

Date:

Mail Entry with Payment to:
Baker Lake 50K
15015 - 206th Avenue SE
Renton, WA 98059

NOTE: If the entire page does not print, hit Ctrl A
and tell your printer to print "Selection".