2012 Bethel Hill Moonlight Boogie 50 Miler NO ENTRANTS UNDER THE AGE OF 18 ALLOWED FOR MORE INFORMATION CONTACT: DOUG DAWKINS P.O. BOX 96 ELLERBE, N.C. 28338 910-206-2095 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 no more than 75 entrants and that registration
may close abruptly at the race director's discretion. 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.
Signature______________________________________________________Date________________
- REGISTRATION WILL CLOSE NO LATER THAN MAY 23
___ I do not want a shirt
___ $7.50---I want the standard black cotton tee shirt. All generic fit.
___ $12.00---I want the men's black synthetic wicking tee shirt.
___ $12.00---I want the women's black synthetic wicking tee shirt.
circle shirt size S M L XL XXL
Green credit--Any runner signing the following pledge may deduct $5 from his entry fee.
I will not litter. I will bring a bottle and refill it when necessary at the aid station. I will not use any aid station cups even when
they are available.
Sign here____________________________________________and deduct $5 if you agree.
$____ ____TOTAL MAKE CHECK OUT TO "BHMB 50" AND MAIL TO: BHMB 50 P.O. BOX 96 ELLERBE NC 28338
- Name {print}_______________________________________________________________________
Address________________________________________________________________________
City______________________________________________________State___________Zip_____
Male____ Female____ Age race day__________ Running club_____________________________
Phone number__________________________ Email_____________________________________
Emergengy contact and phone___________________________________________________
| Sponsored by THE RUNNERS FROM HELL, THE PHANTOM TROTTERS, AND THE MANGUM TRACK CLUB |