Age (on race day) ______Sex_____

 

T-shirt Size: Med____ Large_____ X Large_____ XX Large _____ XXX Large ($2.00 extra)   

 

ENTRY:  (PLEASE PRINT)                                              Entry Fee  

Early entry by Mail only... No E-mail or Fax Please

NOTE:  Entries are no exchangeable or refundable                    Half Marathon         4-Mi Run/Walk

                                                           Prior to Race Day.... $20.00                  $20.00

                                                                    Race Day….     $25.00                  $25.00

     

Race Option:  ___ 13.1 Mile Run    ___ 4 Mile Run 

                             

Name: _______________________________  Phone_______________

 

Address: ________________________ City / State / Zip_____________________________________

 

Phone: (218)624-5948 

Make check payable to  & Mail check with entry to:

Mcinitre Half Marathon  - 136 1st St., Proctor MN  55810

 

WAIVER:  I, The undersigned, know that running or walking a road race is a potentially hazardous activity.  I am properly

trained medically and physically to run or walk this event.  I agree to abide by all the rules and decisions of the race officials

to safely complete this run / walk. I assume all risks and waive all claims that I or my heirs may have against all sponsors, 

race directors, race officials, and person and their families, associated with this race, including the cities of Proctor, Duluth, 

and Town of Midway, Proctor and International Lions Clubs, ISD 704, St Louis County Carlton County, and the State of 

Minnesota for any injuries or problems I may sustain, regardless of any negligence.  If, however as a result of my participation 

in the Jim McInitire Half Marathon, I require medical attention, I hereby give my consent to authorized medical personnel of the 

Jim McIntire Half Marathon to provide such medical care as is deemed necessary by such authorized personnel of the marathon.

 

Participant Signature_____________________________________________________________________

 

 

Please Print and Mail to above address