FIRST ANNUAL PINE MOUNTAIN HILL CLIMB ENTRY FORM
Sunday, September 14, 2008, 9 a.m.
11.5 mile dirt road and trail run
2,500’ vertical gain; 8 miles of climb, 3.5 miles of descent
Race limited to first 100 runners

Name: ___________________________________________________

Address: ___________________________ City/State: ________________ Zip:_______

Phone: ____________________

Email:______________________________________________

Age on Race Day: _________

Gender: Male | Female

Entry Fees:
Received by Saturday, Sept. 6: $25
Received Sept. 7 - 12: $30
Day of Race Entry: $40
Extra donations for the Pine Mountain Observatory are welcome!

More information available at www.fleetfeetbend.com/pinemtn

Make checks payable to: Fleet Feet Racing

Mail entry to:
Fleet Feet
Attn: Pine Mtn. Hill Climb
1320 NW Galveston
Bend, OR 97701

Drop off: Entry may be dropped off in Bend at Fleet Feet or Patagonia.

Waiver
I know that running is a potentially hazardous activity. I should not enter the Pine Mountain Hill Climb unless I am medically able and properly trained. I agree to abide by any decisions of a race official relative to my ability to safely complete this event. I assume all risks associated with competing in this event, including heat, humidity, rain, snow, wind, wild animals, traffic, other trail users, and the conditions of the trails, 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 U.S. Forest Service, Pine Mountain Observatory, Fleet Feet Sports Bend Inc., Fleet Feet Sports Inc., Road Runners Club of America, Sean Meissner, all sponsors, their representatives and successors, and all others associated with this race, from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of the negligence or carelessness on the part of the persons named in this waiver.

Signature: ____________________________________ Date: ___________

Signature of parent if under 18:____________________________ Date: __________