Amica Insurance Seattle Marathon Event Guide 2012

Page 27

SATURDAY NOVEMBER 24 2012

PRESENTED BY

8:30aM START

JOIN US ON OUR beautiful DOWNTOWN COURSE Safety Rules The Seattle Marathon Association is a member of the Road Runners Club of America (RRCA) and, as such, is required through its membership insurance to exclude entrants with bicycles, skateboards, roller skates or blades and animals (other than dogs on leash). iPods may be used, but are not encouraged by RRCA or the Seattle Marathon Association. For safety reasons, if a course official asks you to remove your listening device, please do so. Entrants choosing to violate these safety conditions pose a danger to all participants. Persons found in violation of these safety rules will be disqualified and removed from the course. Registration Online: To register, visit www.seattlemarathon.org. Online entries accepted until 11:59pm (PST) on November 13th.

By FAX: Entries may be faxed to the Seattle Marathon Association at 425.671.0135 with your Visa/MasterCard payment. FAX Entries accepted through 11:59pm (PST) November 13, 2012. In Person: Entries can be dropped off at participating running stores until store closing on November 13th. See page 8 for complete list of participating running stores. At EXPO: In-person registrations are accepted at EXPO, November 23rd. See page 3 for details on EXPO. Day of Race: $45 cash, check or VISA/ MasterCard on November 24th from 7:00am-8:00am near the start line at 3rd and Mercer. Please allow time to find parking and walk to the start line. ENTRY FEES ARE NON-REFUNDABLE. No Transfers. No Rollovers. No Medical Comps.

By Mail: Entries must be postmarked by November 13th. Mail completed entry form along with VISA/MasterCard payment or check payable to Seattle Marathon Association, PO Box 31849, Seattle, WA 98103.

PRESENTED BY

SATURDAY NOVEMBER 24 2012 8:30am start / 3rd & mercer

First Name

birthdate mm/dd/yy male

Last Name

female

Entry  Fee  $30  on  or  before  May  31  2012 Â

Mailing Address

Entry  Fee  is  $35  on  or  before  11/23/12  $45  day  of  race Â

Registration Fees (US Funds Only)

City

State/ Prov.

Zip/ Postal Code

5K RACE On or before May 31st After May 31st Day of race Registration

$30 _____ $35 $45

E-Mail

Day Phone

Eve. Phone

WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and 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 running this event, including, but not limited to tripping and falling, contact with other participants, the effects of weather, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptance of my entry, I, for myself and anyone entitled to act on my behalf, and on behalf of any accompanying minor or pet, waive and release The State of Washington, Washington State Dept. of Transportation, The City of Seattle, Road Runners Club of America, the Seattle Marathon Association, Seattle City Parks, all sponsors, contractors and volunteers, their representatives and 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. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose and I understand that my name will be posted on the Seattle Marathon Association website as a participant of the 2012 event. I also understand that my entry fee is non-refundable. A parent must sign if entrant is under 18 years of age. This is to certify that my child has permission to compete in the event, is in good physical condition and the event officials may authorize necessary medical treatment. I understand that this event is RRCA sanctioned and that bicycles, skateboards, roller-skates or blades and headsets are not allowed in the race and I will abide by this guideline. I accept all liability for any accompanying minor, pet, stroller or wheelchair I bring onto the course. I further agree to return the timing chip that is issued to me at the completion of the race or pay a $40 replacement fee, no refunds.

Make Checks Payable to: Seattle Marathon Association CASH

For Payment by Bank Card (Visa or MC only)

%BUF

1BSFOUT 4JHOBUVSF (If under 18, signature of Parent/Guardian is required)

/

Account#

/

/ /

Expiration Date

Cardholder Signature

4JHOBUVSF

BANK CARD

CHECK # _____________________ (Please fill in check number if paying by check)

V# (V number: Last 3 or 4 digit number on back of card)

X

NO REFUNDS

No Transfers. No Rollovers. No Medical Comps.

1 t ' t 5PMM 'SFF t JOGP!TFBUUMFNBSBUIPO PSH XXX TFBUUMFNBSBUIPO PSH t 4FBUUMF .BSBUIPO "TTPDJBUJPO 1 0 #PY 4FBUUMF 8"

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