21^st Annual Bandelier Races Registration Form

Click here to register online.

Or print this page, complete, and mail to: High Altitude Athletics Club P.O Box 298 Los Alamos, NM 87544

Name ________________________________

Address _________________________________ City _____________ Sate ___ Zip __________

Phone number _____________ LANL Mail Stop (if Appl.) _____ email _______________________

Age on race day (May 10, 2003) _____ Birth date ________ Sex ___

Race: Marathon _____ BB 50 Mile _____ 50 mile relay _____ Marathon Relay ______

Name of relay team _____________________________ Team Captain ________________________

T-Shirt Size S __ M __ L __ XL __

Please make checks payable to "Bandelier Races"

I attest to my physical capabilities, and I realize there are risks associated with competing in this event. I accept full responsibility for any injury or accident to myself. I also waive any and all claims for myself and my heirs against the County of Los Alamos, the officials and the sponsors of this event and the High Altitude Athletics Club. I hereby give race officials permission to obtain any medical aid I may require during this event:

Signed __________________________ Signature of Parent or Guardian if under 18 _________________

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