Entry Fee: Entry fee $70 by August 6, 2008--$85 (US funds) after August 6, 2008. DAY OF RACE REGISTRATION $100.
NO REFUNDS AFTER August 18, 2008.
See refund policy under General Information.
No Early Starters. Name (Please Print):__________________________________ Age on Race Day:________
Sex: M F (circle one) Shirt size: S M L XL (circle one)
Address:____________________________/_____________________/___________/_________________
Street City State/Province Zip/Postal Code
Email:_______________________________________ Phone (Day/Evening: (____)_____________________
My longest run in training: ____________miles. My longest race: ____________miles.
Waiver: I know that participating in the Uncle Joe 50 Km Ultramarathon is a potential hazardous activity.
I understand that the course is difficult with a rugged trail and mountain roads. I understand that running
on the trail and mountain roads may subject me to injury and/or illness, or worse. I understand that I may
have wildlife encounters, rapid weather changes, falling trees, roots, rocks or other hazards. I should
not enter and participate unless I am medically able and properly trained. In signing, I give statement that
I am in good health, that I have trained sufficiently to participate in this event, will be prepared for race
day conditions, and there is no medical reason that I should NOT attempt this feat. In consideration of
acceptance of this application by the race sponsors, I forever waive, release, and discharge any and all
rights, demands, claims for damages, and causes of suit or action that I may have against any and all race
organizers, sponsors, supporters, volunteers, private land owners, Pend OreilleCounty, the U. S.Forest
Service, the Joseph Heslin Foundation and the Road Runners Club of America. I will assume and pay my own
medical and emergency expenses in the event of accident, illness, or other incapacitation, regardless of
whether I have authorized such expense. The forgoing release is binding upon me personally, as well as
upon my heirs, executors, administrators, all members of my family, or any others who might make a
claim on my behalf.
Signature: Date:
I certify that I am a fine person, who likes to reduce my taxes and who wants to help provide college
scholarships to deserving young people. With the faith of an ultrarunner that the running gods will
relax my calves, loosen my hamstrings, increase the stroke volume of my heart, and cause a strong
wind to blow at my back in the latter stages of the Uncle Joe 50Km because of my generosity, I hereby
enclose an additional TAX DEDUCTIBLE donationof $_____________ to the Joseph Heslin Foundation.
Entry fee: $70 by 8/06/08, $85 late) _________
(The entry fee includes a meal ticket
for the runner and one crew/family
member).
Additional Meal Ticket(s): _______at $5 ea. _________
Additional Tax Deductible Donation: ________
Total enclosed: $________
Make checks payable and mail to:
Joseph Heslin Foundation
c/o Karen and Steve Heaps
17511 E. Montgomery Ave.
Spokane Valley, WA 99016
Confirmations will be emailed to all entrants.
