Turkey Hill Country Classic

17th Annual Country Classic

May 7, 2016

5 km or 10 km Run Registration Form

Event: 5 km Runner/Walker   10km   Half-Marathon    

Name:     _________________________________




Phone:     _________________________________

Email:      _________________________________

Gender: Male   Female

Birth Date:      ____/____/_______

T-Shirt Size:      ________________

Emergency Contact:

Name:     _________________________________

Phone:     _________________________________

Entry Fees:
5km and 10km: $15 before 5/4/16, $20 after 5/4/16
Half-Marathon: $30 before 5/4/16, $40 after 5/4/16

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

Bib Number:  ____________
official use only