Online Registration Form for the 2nd Annual Lincoln Hwy 8K Fun Run - Oct. 14, 2017

REGISTRATION FEE:
$20.00 per person or $10.00 for kids 10 and under.

REGISTRATION DEADLINE:
September 30, 2017 to guarantee a current year t-shirt. Entries received after this date may recieve a prior year t-shirt.

RACE DETAILS:
Saturday, October 14, 2017
Arrive by 8:00 AM - Run Start Time 8:30 AM
Same-day Registration Opens at 7:30 AM
Start and Finish at 1941 Old Bass Lake Road, El Dorado Hills, CA 95762
(Near intersection of Bass Lake Road and Highway 50)

Proceeds benefit the Clarksville Region Historical Society (CRHS). Entry fee must accompany this registration. Registration available morning of the event.

TO REGISTER:
Each participant must fill out a separate registration form.
Step 1. Fill out and submit the registration form.
Step 2. Pay securely using PayPal.

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LET'S BEGIN!

Step 1: Please fill out ALL the fields in the form below. You will receive an email confirmation once we receive your registration. Your information is NEVER shared with anyone else.

Name (First & Last)


Male     Female

Street Address


City


State


Zip Code


Phone (w/area code)


Email


Shirt Size (Sizes are in men's. No ladies' or kids' sizes.):
SM     MD     LG     X-LG     XX-LG

Waiver: I (we) know that running a road race is a potentially hazardous activity. I am in proper physical condition to participate in this run/jog/walk and assume all risks associated with my participation including, but not limited to, falls, contact with other participants, the effects of the weather including high heat and humidity, traffic, and other conditions of the road, all such risks being known to and appreciated by me. I will not wear headsets or any other device that restricts my hearing or other perception. In consideration of this entry, for myself and anyone entitled to act on my behalf, I waive and release any and all race officials, volunteers, sponsors, and any others associated with this event.

By checking this box, I agree to the terms above

Full name of person completing this form
(Parent or guardian must complete on behalf of a minor)


Date