Rodeo Run Web Entry Form

You may print this form, complete it, and mail it to enter.

Mail Entry To:
Lindsey Brown
P.O. Box 133
Woodhull, IL 61490		 MAKE CHECK PAYABLE TO:
New Windsor Rodeo

ENTRY FEE:
Pre-Registration Race Fee
Before August 13:  $15.00
(Guarantees T-Shirt to first 200 entries)
After August 13:  $20.00

NAME   _____________________________________________
ADDRESS   _________________________________________
CITY  ______________________________________________
STATE ______________  ZIP CODE _____________________
PHONE _________________  AGE ________  SEX   M  F  (CIRCLE)
E-Mail ______________________________________________

T-SHIRT SIZE: (CIRCLE) M  L  XL           RACE: (CIRCLE)    2-MILE   4-MILE

   In consideration of my entry.  I, intending to be legally bound, for myself, my heirs, executors, and administrators, waive, release, and forever discharge any and all rights and claims which may hereafter accrue to me against the officials of the Run, the New Windsor Ball Association, the village of New Windsor, and the County of Mercer for any and all accidents or injuries incurred by me at this event.  I further state that I have trained adequately and am in suitable condition to compete in this race.

Signature _________________________   Date ___________________

(Parent or Guardian, If under 18)