Cle Elum 50 km Ridge Run

September 17, 2005





Name:________________________________________________

Mailing Address:________________________________________

City:___________________________ State/Province:________

Zip/PC:_________

Email: ________________________________

Phone:______-____________________

Age on Race Day:___________________

(Circle) Male/Female

Please fill out and return with fee to

Krissy Sybrowsky P.O. Box 4037 Seattle, WA 98194

Fee in U.S. Funds

Please make payable to Krissy Sybrowsky



BEFORE SEPTEMBER 1

$ 55 covers run (insurance, permits, aid food, etc) and finisher’s award



$70 AFTER SEPTEMBER 1



Proceeds benefit Kititas County Emergency Radio Club



Host Hotel:

Stewart Lodge

(509) 674-4548

www.stewartlodge.com



RELEASE (each participant must sign)

“In consideration of the acceptance of my entry, I for myself, my heirs,
executors, administrators and assigns waive, release and discharge any and
all rights and claims or damages against the race directors, race
workers/volunteers, the State of Washington, US Forest Service, USAT&F, Plum
Creek Timber, Kititas County Radio Club and all sponsors for claims arising
from my participating in the Cle Elum 50 km Ridge Run. I attest and verify
that I have full knowledge of the risks involved in this run and that I
assume those risks, and that I am physically fit and sufficiently trained to
participate in this run.”



Signature:_______________________________________________ Date:
______________



You will be notified via email or phone call of your acceptance to the race.
A runner’s packet will be mailed September 1st.