ADDRESS

NAME

CITY

STATE/ZIP CODE

AGE

SHIRT SIZE

S M L XL

PHONE NUMBER

E-MAIL ADDRESS

EMERGENCY CONTACT & PHONE NUMBER

COURSE

8 MILE 16 MILE

M F

RULES & REGULATIONS1. All participant’s below the age of 18 must have their registration forms signed by either a parent or guardian. 2. Race Bib numbers must be worn at all times during the race. Bib numbers should be pinned on the chest area of your shirt.3. There is a 4 hour time limit for 16 mile racers and a 3 1/2 hour limit for 8 mile racers. Racers exceeding this time limit will be shuttled back to the start/finish line.4. All protests related to the results must be made in writing and submitted to the race director within 30 minutes after the official announcement of winners.5. The organizer’s decision is Final.6. The organizer reserves the right to make changes at its discretion without prior notice.

Aid Stations & First AidHydration and food will be provided at the finish line and along the race route. Medical aid will be available and will be dispatched from the finish line if needed.

Parking AreaAll participants and spectators are required to park their vehicles in the designated race parking area and not in the designated mountain biking parking area.

Inclement Weather1. In the event of heavy rain, lightning, haze or other adverse weather conditions, the event may be delayed or canceled.2. Should bad weather persist beyond 8:00 am or the conditions be deemed unsuitable, the event will be canceled.3. If rain occurs after the race has started, you may continue unless otherwise advised by the designated race official.

All or part of this operation is conducted on Public Lands under special permit from the U.S. Bureau of Land Management.

ENTRY FORM LIABILITY WAIVER / RELEASE FORMAs a participant, for myself and my heirs, executors, and administrators, I hereby waive and release any and all right and claims for damage which I may have against the Kokopelli Classic Trail Runs, its organizers, its sponsors, volunteer groups or individuals, and the United States. I am physically fit and prepared for this event, and I accept all risks and responsibilities associated with the event. I accept all of the rules, conditions, and regulations of this run and its authorized agents, and I will faithfully comply with them. Finally, I hereby irrevocably grant my permission to the Kokopelli Classic Trail Runs organizers and their agents to record and use such recordings of my participation in the event in any way, including photographs and video. I understand that I am liable for any and all costs incurred for any rescue operations or medical care needed if I become injured, lost, forget to check in or out of aid stations, or fail to notify the organizers should I drop out of the event.

I agree that in the event of race cancellation due to storm, rain, inclement weather, wind or any other unforeseeable, or “act of God” conditions, my entry fee shall be nonrefundable.

I have carefully reads this entry form and agree to abide by all rules and directions of all race officials on the day of the race.

Please make entry fee checks & donations payable to:MCSARC Ground Team, POB 2251, Grand Jct., CO 81502

BIB NUMBER

Can’t run, but still want to help?Consider a donation to the team!

START TIME: 7:00 am for the 16 mile run and 7:30 am for the 8 mile run.LOCATION: Kokopelli Trail - Loma, Colorado [off Interstate 70 - Exit #15]ENTRY FEE: 8 Mile - $30 [race day add $5] • 16 Mile - $50 [race day add $5] [Entry fee Includes a shirt, swag bag & food at the start/finish line]AWARDS: 1st, 2nd, & 3rd place men’s & women’s awards & fabulous drawings.COURSES: These trail runs are conducted on the whole or in part of Mary’s Loop, Mack Ridge, Lion’s Loop & Steve’s Loop.REGISTRATION: You can register online at www.active.com or mail in this form.INFO & TRAIL MAP: www.mcsargt.com

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A BENEFIT FORTHE MESA COUNTY SEARCH & RESCUE

GROUND TEAM

1 3 T H A N N U A L

AUG 24 2 0 1 9

The

8 & 16 Mile Trail Runs

UPLAND COMPANIES, INC

2016SANCTIONED

EVENT

___________________________________________________ Participant’s Signature

___________________________________________________ Parent or Guardian’s Signature (If under 18 years old.)