Golden Gate Headlands 2008 Registration form

Important - If you insist on printing (and mailing) this form out - make sure you shrink this form by about 65% before you try to print it. The waiver must appear on the form when you mail it in (and you must sign it - use the comments box at the bottom). However, I do recomend that if at all possible - you use this form below - submit it electronically and then either send in a check or pay via Visa/MC (It's much e-zier on me - Mr. RD - if you pay via visa/mc rather than by check (it's just one less thing for me to lose or misplace!)). Thanks in advance!

USATF logo GU logo USATF logo

2008 Headlands50k Entry Form

. Last Name
First Name
 .
.
Street
City
 State.Zip
. Work Phone
Home Phone
 Sex: malefemale

Age

. Email Address
Club orTeam affiliation
 PAUSATF/USATF #.
T-shirt Size
SmallMed.LgXL
Number of Additional Tshirt(s): $12/ea
 .
Hooded Sweatshirts
SmallMed.LgXL
Number of Hooded Sweatshirts(@ $25/ea)?
 .
.
Join Tamalpa?
Check or Visa/MC?
Amount of Payment
. Click Here to visit the Tamalpa website and Join Tamalpa ( and check here to let us know you went there and that we referred

you. (optional)).

 . Select the correct item below to indicate what you are paying for (this helps us track your registration. If your registration doesn't fit into one of the categories in this popup menu - select "other amt" and enter explanation in the "comments text box below". Many thanks!)

Note: USATF membership is required for participation in the USATF championship division and "Athletes who participate in the National Championship may be subject to formal drug testing in accordance with USATF Rules and IAAF Rule 144.

----WAIVER ---

Waiver: In consideration of submitting this entry , I, intending to be legally bound, do hereby for myself and my heirs, executors, administrators(and anyone else who may represent my interests), waive and release any and all rights and claims or damages I may accrue against the persons and/or organizations affiliated with this event(the Tamalpa Runners Golden Gate Headlands 50k hereafter referred to as "the event") for any and all injuries that may be suffered by me during my participation in the event, (and/or training for the event) traveling to and from the event and persons traveling with me, enroute to, or from the event, and any and all injuries that may be caused to others by my participation or my actions whilst participating in the event and/or my travel to and from the event. I do agree to indemnify and hold harmless any agent, representitive or volunteer associated with the headlands50k and/or the Tamalpa Runners for any losses or claims of loss presented against the event or any agent of the Tamalpa runners. I attest that I am physically fit and sufficiently trained for this event and as part of the waiver I acknowledge that I have read and understood all of the above and by submitting (clicking the submit button (titled: "Submit your Registration for the 50k")below) or sending this form in via email and/or mailing it(via the USPS), and/or by participating in the event, in any capacity, The Tamalpa Runners club DBA Headlands50k cannot accept responsibilitiy for any harm to yourself and others that your participation in the event may cause. I am indicating that I agree to abide by all of the terms and conditions set forth in this waiver statement.
ALL ENTRANTS/PARTICIAPANTS MUST AGREE TO WAIVER (Parents/Guardian if under 18)

FROM THE MT. TAMALPAIS STATE PARK RANGERS:

In the interest of promoting a safe and enjoyable experience for all park visitors it is strongly encouraged that all participants in this years' headlands50k avoid running into - pushing/shoving/bumping -(etc.) other park visitors. Any pushing,shoving, touching, etc. by any participant in the headlands 50k of other park visitors can be considered an assault (by law) and can be enforced as such by park staff. Any headlands 50k participant involved in any such incident will be cited and prosecuted for assault and will be disqualified from the event.

Additionally - all participants agree to indemnify all event organizers/volunteers AND participating organizations against any claims arising from any such "incident".

Check here if you agree to abide by the terms of the Waiver:Today's Date:

----END WAIVER ---

The mailing address for payment by check: Tamalpa Runners Headlands 50k ,C/o Guy Palmer: Deadline for early entry status is Midnight - Saturday August 9th, 2008.

P.O. Box 669, Fairfax Ca 94978-0669 Phone: 415 518 1551

Comments/Questions/Requests/Explanations/Pleas/Grovels..etc (Also, if you need to make special requests - like for example g you want to register your team and team mates, do it below and/or if you are printing out this form and mailing it, Just sign your name in the comments box below to indicate you agree to abide by the terms of the waiver above).