Race Entry Form

PANHANDLE RUNNERS & TRIATHLETES CLUB
Panama City, FL

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PANAMA CITY RUNNERS AND TRIATHLETES CLUB
 RACE FORM

 

 

Name:    
Address:
             

Telephone: 

Age:        on date of race
Adults:$12.00 Early Registration. ($1.00 discount to PR&T)

T-Shirts to the first 100 registered runners.
$8.00 -  No  T-shirt option

T-Shirt size:
              X-Large
Gender:              Male
           
                          Female
Race Entered:
                      5K
                    10 K
                     Fun Run
5K & 10K AWARDS
1st, 2nd, & 3rd place overall Male & Female
1st place MASTERS Male & Female
1st place Grandmasters Male & Female

Awards three deep in the following age groups:
14 & under, 15-19, 20-24,25-29,30-34,35-39,
40-44,45-49,50-54,55-59,60-64,65 & up
FUN RUN AWARDS
Overall Male & Female (12 & under)

Three deep in the following age groups:
1-4,5-6,7-8,9-10,11-12,13-19,20-35,36& up

Ribbons to ALL one mile finishers.

FOOD & BEVERAGES:  Fruit, cookies & drinks will be available after the run. 
 Aid station will be on the 10K courses.

WAIVER:
 I assume all risks associated with running this event including but not limited to falls, contact with other participants, the effects of weather including high heat and/or humidity, traffic, and the condition of the road, such risks being known and appreciated by me.   Having read this waiver and knowing these facts and in condition of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Panhandle Runners & Triathletes the City of Panama City, all supporting sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the race.
Signature/Date
Parent or Guardian if under 18 years of age
Print and mail to:  Panama City Runners and Triathletes Club
                           P.O. Box 381, Panama City, FL  32402
On line registration:   www.active.com

 

 

 

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This page was last updated on 01/14/01 09:07:33 PM.
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