Helena            HURL ELKHORN 50 MILE/50 K ULTRAMARATHONS

Ultra                                          Registration Form

Runner’s                           (possibly on) Saturday, August 1, 2009

League                   5:00 a.m. start (50 Mi), 7:00 a.m. start (50K)

Name (Please Print Legibly):_________________________________________________________

Age on Race Day:_____      Sex:    M     F              Shirt Size:     M   L  XL        Race:    50 Mi   50K  

                                                (Please circle one)         (Please circle one)                      (Please circle one)

Address:___________________________________________________________________________

City:___________________________ State/Province:_____________________Zip:____________

Email address:_________________________________________          More Information:

                                                                                                                 www.helenarunningclub.com

Phone Number (Day/Evening):___________________________          slengebrecht@msn.com

Cost:   Entry received no later than July 21, 2009         $75.00 (50 Mile)     $60.00 (50 K) 

            Entry after July 21, 2009                                         $100.00 (50 Mile)   $80.00 (50 K) 

            No race day registration, no exceptions!          (U.S. Dollars)

Refund Policy:         $50.00 of 50 Mile entry fee and $30.00 of 50 K entry fee is refundable for requests received no later than July 21, 2009 .  No refunds will be made after July 21, 2009 , no exceptions.  

Make Checks Payable to:              Helena Running Club

Mail Entry Form and Fees to:       Steve Engebrecht

                                                            1030 Wilder Avenue

                                                            Helena , MT 59601

The following is a release and waiver, by signing it you give up any claim for injury or illness of any kind:

I, the undersigned, understand that the HURL Elkhorn Ultramarathons are difficult trail races through rugged mountainous terrain, that most of the courses are accessible only by foot or horseback, that there are inherent risks associated with my participation, and that my participating may subject me to injury and/or illness, or worse. I understand that running on backcountry trails poses many hazards, including but not limited to:  rapid weather changes; falling trees; becoming lost; wildlife encounters; bovine encounters; downfall; and falling. Elkhorn trails include rocks, roots, stream crossings and cow pies among other hazards.  In signing, I give statement that I am in good health, that I have trained sufficiently to participate in this event, will be prepared for race day conditions,  and that there is no medical reason that I should not attempt this feat.  In consideration of acceptance of this application by the race sponsors, I forever waive, release, and discharge any and all rights, demands, claims for damages, and causes of suit or action that I may have against any and all race organizers, sponsors, supporters, volunteers, private land owners, Jefferson County, the Helena Running Club, HURL, and the Forest Service.  I will assume and pay my own medical and emergency expenses in the event of accident, illness, or other incapacitation, regardless of whether I have authorized such expense.  The foregoing release is binding upon me personally, as well as upon my heirs, executors, administrators, all members of my family, or any others who might make a claim on my behalf.

Signature_____________________________________________   Date___________________

Emergency Contact_____________________________________   Phone _________________

C:\Documents and Settings\Steve Engebrecht\My Documents\Running\Elkhorn\Elkhorn 2007\Elkhorn 2006 entry form.doc