HNR 17 Entry 1

User Manual: HNR-17-Entry-1

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Official Use Only
Race-Day Bib #

2017 Hypnosis Night Runs Entry
First Name
Last Name
Address
City

State

Zip

Email Address
Phone

Age on Race Day
Male

Date of Birth

Female

M M

D D

Y Y

Fees by Postmark Date

Entry Fees (Please Circle)
Until 3/20 Until 5/24 Until 6/20 After 6/20

54 Kilometer

$65.28

$70.72

$76.16

$81.60

23 Kilometer

$48.96

$54.40

$59.84

$65.28

8 Kilometer

$38.08

$43.52

$48.96

$54.40

Y Y

Goodies guaranteed on race day if registered by 5/24, otherwise will be sold on race day if available.
*Race entry fee does not include $6/vehicle Maricopa County Regional Park entry fee due at gate on race day
All entry fees include applicable state, county and City of Avondale sales taxes.

Participants in the Hypnosis Night Run will receive trucker hat & sunglasses!
Offer

Add a Headlamp - Pick Up At Race
$32.64 - Spot (200 Lumens)

Please include your entry fee and mail to:
(checks payable to ARAVAIPA RUNNING)

Aravaipa Running
11049 N 23rd Drive #102
Phoenix, AZ 85029

Event Waiver & Release
This waiver covers the Hypnosis Night Runs held June 24-25, 2017. I understand that running on trails is strenuous exercise and has some danger. I give statement that I am in good health and
there is no medical reason that I should not attempt such a feat. I know that running on trails poses many hazards, not limited to falls, bad weather, rockslides, getting lost, wild animal attack and
generally dangerous conditions. I am entering this event with full knowledge that I could easily be hurt or face life threatening injuries. I fully assume all risks of injury, illness or death, and
release covenant not to sue, and discharge San Tan Mountain Regional Park, Maricopa County, Aravaipa Running LLC, USA Track & Field, the race director, volunteers, all sponsors, and any
individuals or groups associated with this event, all actions, claims or demands for damages arising out of my participation in this event. The forgoing release is binding upon me personally, as
well upon my heirs, executors, and administrators, and all members of my family, or anyone else who may make claim on my behalf. Entry fees are non-refundable and non-transferrable. I
further grant my irrevocable permission to Aravaipa Running LLC, and its authorized agents, to use my name and any photographs, videos, motion pictures, recordings, or any other record of my
participation in this event. No REFUNDS or TRANSFERS once entry is accepted.

Signature
Signature of Parent/Guardian if under 18 Years

Date



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