| Bethel Hill Moonlight Boogie 50 Miler NO ENTRANTS UNDER THE AGE OF 18 ALLOWED NO REFUNDS FOR MORE INFORMATION CONTACT: DOUG "BOOGIE MAN" DAWKINS P. O. BOX 250 ELLERBE, N.C. 28338 910-895-2626 Doug@theboogieraces.com |
- WAIVER AND RELEASE:
I realize June in North Carolina is hot and humid. Most people and doctors advise against running in heat
and humidity. Also, running at night presents special problems such as seeing where you are stepping and
watching out for cars. I understand that this area has specific hazards such as rattlesnakes, copperheads,
polecats, wildcats, and rednecks who like to drink and drive and throw things. I know that 50 miles is a long,
long ways and many people get tired just driving that far. Nevertheless, I want, no, I insist I be allowed to do
this event regardless of the risk. Therefore, I want everyone to know that I am not being forced to do this event
and that I agree for myself and any survivors or possible claimants that I may leave behind, to save, release,
and keep harmless the Mangum Track Club, its members, the Runners From Hell, and any volunteers or
sponsors or any other helpers that may be involved with this event, from all liability, claims, or demands for
damages incurred by participation in this event or any of its parts. I assume all responsibilities for my participation
in this event and certify that I am properly trained, mentally fit, and medically able to participate in this 50 mile run.
I agree to use a light after dark. I certify that I am 18 yrs old or older. I will not litter. I will not kill snakes. I am
aware that this event is limited to the first 75 entrants and that all entries after the limit will be returned. I am
aware that registering after the May 27 deadline means that I probably will not get a shirt or award. I realize that
the race director's {or his delegate} authority is all encompassing and will abide by anything he tells me.
Knowing everything in this waiver has not deterred me from entering this event and my signature below
indicates that I have read and agree to all this stuff and still intend to participate. I also promise to have fun.
MAKE CHECK OUT TO "BHMB" AND MAIL TO BHMB P O BOX 250 ELLERBE NC 28338
- Signature_____________________________________________________ Date_______________
Name {print}_______________________________________________________________________
Address________________________________________________________________________
City______________________________________________________State___________Zip_____
Male____ Female____ Age race day__________ Running club_____________________________
Phone number__________________________ Email_____________________________________
Emergengy contact and phone___________________________________________________
Tech-fiber shirt (not cotton) size S______ M______ L_____ XL_____ XXL____
SPONSORED BY
- THE MANGUM TRACK CLUB AND RUNNERS FROM HELL
