The Merchants Association of Oak Ridge Presents: May 30, 2015 Oak Ridge Town Park & Name: Age Female Male Email: Address: Entry Fees (due by 5/24 to guarantee a t-shirt): All events are timed (circle one) RUGGED RIDGE Competitive (3 miles) 5K (3.1 miles) $25 T-Shirt Size (circle one) *****Must be at least 13 years old for RUGGED RIDGE 1 Mile Run/Walk Youth Large RUGGED RIDGE Casual (3 miles) $35 Adult: $15 ALL 3 events with two shirts!! S M L $35 $50 XL Event proceeds fund Local College Student & Teacher Scholarships, and Local Non-profits. Request to be in same RUGGED RIDGE group as_________________, ___________________, ________________. Please send form and check to: Run the Ridge, P.O. Box 447, Oak Ridge, NC 27310 or online registration for an additional cost at www.OnTheMarkSports.com Waiver: I know that running a race is a potentially hazardous activity which could cause injury or death. I should not enter and run unless I am medically able and properly trained. By my signature, I certify that I am medically able to perform this event, and am in good health, and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and other course conditions, 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 the Merchants Association of Oak Ridge, race volunteers, the city of Oak Ridge, and all sponsors, their representatives and successors 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. Participant’s Signature________________________________ If under 18 years of age Parent/Guardian Signature __________________________________ For more information www.MerchantsofOakRidge.com then Events tab or Contact Andy Michels at [email protected] or call 644-0201