SHOTGUN TRAIL BLAST - Saturday, april 4th 2015 The 2nd event in the 2015 “RBTS” - Run Big Trail Series EVENT, I AM ENTERING: SELECT ONE NAME: 50K -8AM 25K -9:45AM 10K -9:50AM 5K -10AM (LAST)_________________________________________(FIRST)____________________________________________________________________ ADDRESS: ______________________________________________________________________________________________________________________ CITY:____________________________________ STATE:________________________ ZIP:_______________ GENDER (Circle One) Male or Female AGE ON RACE DAY_______________TELEPHONE:_________________________________________________EMAIL:___________________________________________ PLEASE CIRCLE SHIRT SIZE & GENDER - IF ORDERING SHIRT: ($12) - MENS OR WOMENS - Adult Sizing PLEASE SELECT ENTRY OPTION: - XS S M L XL XXL $50 for 50k without shirt $35 for 25K without shirt $25 for 10K or 5K without shirt $12 Add Shirt (Shirt Cut-off is 3/25/15) Minus $5 (Ages 17 & under AND 60 & over, receive a $5 discount) Day of registration is available, for $5 additional, on race day, 4/4/15 NOTE: ENTRY FEES ARE NON-REFUNDABLE AND NON-TRANSFERRABLE. Signature (parent or guardian if under 18):_________________________________________________________________________________________________________________ MANDATORY WAIVER: I know that a road race/walk or wheelchair event is a potentially hazardous activity. I should not enter and participate in this event unless I am medically able and properly trained and have sufficient stamina to safely and successfully complete this event without harm or injury to myself. In consideration of the acceptance of my entry, my heirs, executors, administrators and assigns, waive, release and discharge any and all rights and claims for damages against the Shotgun Trail Blast race directors and designated race officials, Level 32 Racing LLC, Eclectic Edge Events, LLC, U.S. Government Bureau of Land Management, City of Marcola and all participating sponsors, agents and employees of such parties for all claims of damages, demands and actions, whatsoever in any manner arising from my participation in this event. I grant permission to all of the foregoing the use of any photographs, motion pictures, recording, or any other record of this event for any legitimate purpose. Mail completed entry form(s) with fee to: (PAYMENT BY CASH OR CHECK ONLY) See info. below for in person registration details LEVEL 32 RACING P.O. Box 1732, Eugene, OR 97440 IN-PERSON REGISTRATION: In-person entry can be made through Friday, April 3rd, at 12:00pm, at Eugene Running Company (116 Oakway Center) Packets available on race day ONLY from 7:00am for 50K and 8:10am to 9:45am for all other distances. Full event details and online registration available at www.Level32Racing.com