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7.1.0. - Page 12 OktobeRun Half Marathon & 5K Run <br /> o + u E9111 Saturday October 4 , 2014 <br /> 5K HALF iRROTKOO c9 0(C Race Entry Form <br /> OCTOBER 12,2013 <br /> Registration also available online at:www.oktoberun.com <br /> Race day pick up and start: Seaport Court, Port of Redwood City, Redwood City <br /> Half Marathon start time:8:00 am—5K start time:8:15am <br /> Circle Race Age on Race Day Circle Gender School Affiliation or Other Team Name,if applicable <br /> Half Marathon Male <br /> 5K Run/Walk Female <br /> First Last <br /> Name Name <br /> Street City, <br /> State,Zip <br /> email Phone <br /> Race Fees Until Aug. 31 Sept. 1—Sept. 14 Sept. 15—Oct. 3 Oct.4 Race Day <br /> Half Marathon — all ages $60 $70 $80 $90 <br /> 5K — 19 years and older $30 $35 $40 $45 <br /> 5K — 18 years and younger $15 $20 $25 $30 <br /> Circle your Shirt Size <br /> Men's/Unisex XS Small Medium Large XL XXL <br /> Women's XS Small Medium Large XL XXL <br /> Youth Small Medium Large <br /> Shirts are Sport Tec microfiber performance.Although we try to have shirts for every runner,they are not guaranteed.Shirts are <br /> provided on first come/first served basis at packet pickups and on race day. <br /> PAYMENT <br /> OktobeRun benefits programs funded by the Redwood City Education Foundation. Learn more at: www.rcef.org. <br /> Add a donation to RCEF: $ A$100 Family Sponsor gift puts your name on the race t-shirt! <br /> TOTAL AMOUNT(fee plus donation): $ <br /> Please make checks payable to RCEF. Mail to: RCEF, PO Box 3046, Redwood City, CA 94064 <br /> WAIVER <br /> All entrants must sign waiver.If under 18,parent or guardian must sign. <br /> I know that running/walking a road race is a potentially hazardous activity and that I should not enter and run/walk unless I am medically able and <br /> properly trained.I agree to abide by any decision of a race official relative to my ability to safely complete the run.I assume all risks associated with <br /> running in this event including,but not limited to:falls,contact with other participants,the effects of weather,including high heat and/or humidity, <br /> traffic and the conditions of the road and trails,all such risks being known and appreciated by me.Having read this waiver and knowing these facts <br /> and in consideration of your accepting my entry,I,for myself and anyone entitled to action on my behalf,waive and release the persons and <br /> organizations affiliated with the race including but not limited to,City of Redwood City,City of San Carlos,County of San Mateo,Port of Redwood <br /> City,Redwood City Education Foundation,A Change of Pace Foundation,Pacific Shores Center,Portside II,SamTrans,all sponsors,volunteers,staff, <br /> subcontractors,agents,their representatives and successors from all claims and liabilities of any kind arising out of my participation in these events <br /> or carelessness on the part of the persons named in this waiver.Further,I grant full permission to all the foregoing to use of any photographs, <br /> motion pictures,recordings,or any other record of this event for legitimate purposes. <br /> Signature (Parent's/Guardian's Signature If under 18) Date <br />