Official Registration & Waiver: El Cobrecito Trail Run
Name __________________ Address _____________________________________
E-mail contact _________________ Age on race day: _________ Sex: (Circle M or F or NB)
Event (check one): _____ 4-Mile Run _____ 4-Mile Walk _____8.1 Mile Run
T-Shirt Order ($17 extra); circle one: WOMENS S M L XL
MENS S M L XL
Money enclosed: __ $17 Pre-registration; no shirt ⃝__$34 Pre-registration with shirt (due 5/7/22)
__ $5 under 18 years old; no shirt ⃝__$22 under 18 pre-registration with shirt
Official Waiver: I know that running is a potentially hazardous activity. I should not enter & run unless I am medically able & properly trained. I agree to abide by any decision of a program official relative to my ability to complete the race. I assume all risks associated with running in this event, including, but not limited to: falls, contact with other participants, the effects of weather (including high heat & humidity), traffic, & the conditions of the road & trail, all such risks being known & appreciated by me. Having read this waiver & knowing these facts & in consideration of your accepting my application, I, for myself & anyone entitled to act on my behalf, waive & release the Grant County Striders, & all sponsors, their representatives & successors, from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.
Signature _______________________________ Date _______________________
Parent/guardian signature (if runner is under 18)
_____________________________________ Date ______________________
Emergency contact: _______________________ Phone _____________________
Print & mail to Jim McIntosh, Race Director
El Cobrecito Trail Run
147 Enchanted Trail
Silver City, NM 88061.
Direct questions, concerns, pet peeves, excuses, & injury lamentations to mrgreendreams@msn.com, or dial Jim up at 575.574.2902.
If you would like to volunteer or become part of SCAT/Grant County Striders, contact Jim.
Version 4.5.2023