1 Pre-register (with shirt) 25.00            1 After 08/08/09 (with shirt) 28.001 Shirt Size  1XS 1S 1M 1L 1XL    1 Shirt Size 1XS 1S 1M 1L 1XL1 Pre-register (without shirt) 18.00         1 After 08/08/09 (without shirt)    20.001 Mile Fun Run/Walk REGISTRATION1 Children 12 and under (t-shirt not included)  NO CHARGE1 T-shirt                 $10.00         Shirt size 1YS 1YM 1S 1M 1L 1XL

               08/08/09 for pre-registration to:

Becky Clowers, Race Director/ 13140 Linden Street NW /Piedmont, OK 73078

To complete your registration, read and SIGN below. All packets not picked up by 9am on race day will be considered a donation. No refunds.                                                                                                                                                                                                                                                                  This entry form and release form is a contract with legal consequences. Read it carefully before signing. This is event is sponsored by Goyee Racing and LAMCAR Ministries: 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 also know that although police protection may be provided, there will be a possibility of traffic on the course route.  I assume the risk of running in traffic. I also assume any and all other risks associated with running this event, including, but not limited to, falls, contact with other participants, the effects of the weather, and the condition of the roads, all such risks being known and appreciated by me. Furthermore, I agree not to go back on the course after finishing. I am fully aware that allowing someone else to wear my race number, switching race numbers or running under a false name is a fraudulent act and I agree not to do this. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executor, administrators or anyone else who might claim on my behalf, covenant, not to sue, and unconditionally waive and release and discharge Goyee Racing, LAMCAR Ministries, IPHC RDC, City of Bethany, USATF/Oklahoma/LDR, City and State Police Department, race officials, volunteers and any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participating in this event whether same be cause by negligence or fault. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to sponsors and or agents authorized by them to use any photographs, video tapes, motion pictures, recordings or any other record of this even for any purpose. Applications for minors will be accepted only with a parent or guardian’s signature.

MUST be signed/dated here to participate:________________________________________________________________

Signature of parent or guardian if entrant is younger than 18 years of age.