Watermelon 5K Hope, AR - Fair Park August 13, 2011 7:30 AM
ENTRY FORM - PLEASE PRINT	Grand Prix Website: www.ArkRRCA.com
Name: Last:	First:
Date of Birth:	Age on August 13, 2011:
Sex:     M       F
Address:
City, State, ZIP:
Check One:    ____5K Runner            ____5K Walker              ____Melon Miler
Shirt Size:    ____ Youth M     ____ S     ____ M     ____ L    ____ XL
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 Melonvine Striders Running Club, the City of Hope, 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:
5K Entry Fee: $20 if received before August 11th, $25 thereafter Ages 18 & Under $15 before August 11th, $20 thereafter Melon Mile $8 Make checks payable to Melonvine Striders & mail to: Melonvine Striders 1521 Sammy Circle Hope AR, 71801 Watermelon 5K starts promptly at 7:30, Melon Mile starts at 9:00 Awards Ceremony will be held by the pool at 9:30