First Name Last Name Male Female Age
Address City State Zip
Telephone E-mail
Emergency Contact (required) Phone
T-Shirt Size (adult sizes only, entries received after 06/15/08not guaranteed a t-shirt) S M L XL
I hereby release all sponsors of this event from any and all claims of liability that may arise from my participation in this competition. I agree to allow Beartooth Run/Burn/Events Officials, Race Organizers and Media representatives the use of my name, photos, video tapes, comments or commentaries to help publicize and promote Beartooth Run/Burn/Events.
Age Category
12 & Under 13-18 19-29 30-39 40-49 50-59 60+
Entry Fee: Pre-Registration (on or before June 15, 2008) Age 16 and under ............................................$23 *includes $3 handling fee Age 17 and over ..............................................$28 *includes $3 handling fee Registration (after June 15, 2008) Age 16 and under ............................................$28 *includes $3 handling fee Age 17 and over ..............................................$33 *includes $3 handling fee
Entry Fee:
Pre-Registration (on or before June 15, 2008)
Age 16 and under ............................................$23 *includes $3 handling fee
Age 17 and over ..............................................$28 *includes $3 handling fee
Registration (after June 15, 2008)
Age 16 and under ............................................$28 *includes $3 handling fee
Age 17 and over ..............................................$33 *includes $3 handling fee
Total Charge * Numbers Only - No other Characters! ex: 25 NOT $25
