Minuteman Cross Country 5K
Little Rock, AR - Western Hills Park
September 9, 2017
7:30 AM

Arkansas Grand Prix RRCA Running Series
ENTRY FORM - PLEASE PRINTGrand Prix Website: www.ArkRRCA.com
Online Registration available at: https://runsignup.com/Race/AR/LittleRock/Minuteman5K
Name: Last: First:
Date of Birth: Age on September 9, 2017:
Sex:     M       F
Address:
City, State, ZIP:
Email Address:
Check One:     ____10K Runner     ____Kids 1 Mile
Shirt Size:    YS         YM         YL         M            L            XL           XXL
Release:
I know that running and volunteering to work in club races are potentially hazardous activities. I should not enter and run in this race unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running and volunteering to work in club races including, but not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Little Rock Roadrunners Club, the City of Little Rock, the RRCA, and all sponsors from all claims or liabilities of any kind arising out of my participation in the race and/or club activities even though liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.
Signature: Date:
Parent Signature if under 18 years old:

Entry Fee: $25 preregistered, $30 day of race
$12 for kids 18 & under in the 10K; 1 mile race is free and meant for kids 14 & under
Members of the Little Rock Roadrunners Club
receive a $3 discount on race entry

Make checks payable to Minuteman XC 5K and mail to:
Little Rock Roadrunners Club
P. O. Box 30370
Little Rock, AR 72260