APRIL 9, 2016, ABILENE, KANSAS (Marathon / Half Marathon start at 7 a.m., 10K / 5K start at 7:30 a.m., 311 S. Buckeye) Registration is possible up to 6:30 a.m. race day! Youth under age 10 are ineligible to run any races. Youth 10-14 may do 5K and 10K only. Please PRINT legibly--use black pen—all areas must be completed and liability waiver signed. Name_______________________________________________Date of birth (mo/day/yr) _________________ Gender M___ F___ Age on Race Day (4/09/16) ________ T-Shirt size S___ M ___ L ___ XL ___ Current Address __________________________ City ___________________State _______ Zip __________ If your home of origin is outside the U.S., please list the country here ________________________ Phone (_____) ____________ Fax (_____) _____________ e-mail address ____________________________ Race category: Marathon (26.2 miles) _______ Half-Marathon (13.1 miles) _______ 10K (6.2 miles) _______ 5K (3.1 miles) _______ Walkers welcome in all events! Please remember the 6-hour limit for traffic detour and water/aid stations. Runner’s goal should be to complete the course by 1 p.m. The finish line will remain open until 1:30 p.m. Runner Bio (previous races/awards, interesting tidbits, runner club memberships--use back if needed) Estimated running time _________________ All marathon and half runners receive technical shirts. Mailed payment with entry form must be received by noon April 7. (Eisenhower Marathon, P.O. Box 724, Abilene, KS 67410) Entry fee: $80 marathon; $50 Half-Marathon; $30 10K; $25 5K Late Fee after 3/10/16: $90 Marathon; $60 Half-Marathon; $35 for 10K and $30 for 5K Checks payable to Eisenhower Marathon— List amount paying for ENTRY FEE here ……….. $ _________ Meal costs: Friday evening pasta dinner (adults $10/children under-6, $4) Number of adults_____ children_____ $ _________ Saturday morning brunch (free for runners)--additional all-you-can-eat tickets @ $6 ____ Children $3.50 ____ ….. $ _________ Total enclosed (NO REFUNDS OR TRANSFERS) $ _________ Liability Waiver: I acknowledge that a running race event is a potentially hazardous activity and I should not enter unless I am medically able and properly trained. I assume the risks of participating in the Eisenhower Marathon, Half-Marathon, 10K, 5K including, but not limited to: falls, contact with other participants, the effects of the weather, traffic on the course, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver, and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release all governments, event sponsors, volunteers and professionals associated with this event or localities in which segments of events are held from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission for the use of my name and/or likeness relating to my participation in these events and I waive my right to any future compensation to which I may otherwise be entitled as a result of the use of my name or likeness. I affirm that I am 18 years of age or older, I have read this document, and I understand its contents: PRINT NAME ____________________________________________ DATE___________________ SIGNATURE _______________________________________ Emergency Contact: Name _____________________________________________ Emergency Phone Numbers __________________________________________ Parent/guardian (if under 18 years of age) PRINT NAME __________________________________________ SIGNATURE________________________________ (Middle and high school participants should check with school athletic director before entering.) USATF sanctioned and certified both marathon and half, 2016 Boston Qualifier PACKET PICK-UP AND LATE REGISTRATION: Friday, April 08, 2-9 p.m. at Eisenhower Visitors Center and Saturday 5:30-6:30 a.m. at Eisenhower Visitors Center for all races. Packets include T-shirt, race bib, meal tickets, and course map. TIMERS =Manhattan Timing Company, Manhattan, Kansas. Register on line at https://register.chronotrack.com/r/14137. Printable registration forms at www.eisenhowermarathon.com. Mail to PO Box 724, Abilene Ks, 67410. Questions: [email protected],