Turkey Hill Country Classic Ninth Annual Country Classic
May 3, 2008

10 km Relay Run Registration Form

Name:     _________________________________

Address:  _________________________________
                  _________________________________
                  _________________________________

Phone:     _________________________________

Email:      _________________________________

Team Name:   _________________________________

Team Members: __________________________________________________
(Each team member must fill out individual registration form. We encourage team members to send in registration forms and registration fees together.)

Gender: Male   Female

Age Group:   18 & Under   19-29   30-39   40-49   50-59   60+

T-shirt size:   Small   Medium   Large   Extra Large  (Free if register b/f April 25)

Emergency Contact:
Name:     _________________________________
Phone:     _________________________________

The registration fee for either race is $8 before April 25 or $10 after.

Make checks payable to Manor Township, and send payment & registration to:

THCC
950 West Fairway Drive
Lancaster, PA  17603

Waiver and Release: Please read prior to signing race entry form.
I hereby request permission to participate in the Turkey Hill Country Classic. In consideration of the entry being accepted, I, intending to be legally bound for myself, my heirs, executors, administrators, waive and release any and all rights I have against the organization holding this event, its agents, representatives, sponsors, successors and assigns for any and all injuries suffered by me or damages out of, or related to, the race. I verify that I am physically fit and have trained sufficiently for this race. I grant permission to use photos of me and release my name for any and all race purposes. All of the forgoing has been read by the undersigned and voluntarily been signed.

Signature:  __________________________     Date: ____________