ENTRY FORM--ANDIAMO 2008

NAME:_____________________________STREET:____________________________________

CITY:_____________________________________STATE/ZIP:____________________________

TELEPHONE:________________________ (h or w?) E-MAIL: ___________________________

AGE:_______ SEX:_____    FIRST ULTRA: Yes/No    FIRST ANDIAMO: Yes/No

I WILL HAVE A CREW: Yes/No   I WILL NEED A RIDE FROM THE FINISH TO THE START: Yes/No

(CAUTION. Don't assume you have a ride unless you hear from the race director. Ride is from the finish to the start BEFORE the race. Ride will leave promptly from finish line in Shirlington at 6:15 am.)

I CAN GIVE A RUNNER A RIDE FROM THE FINISH TO THE START: Yes/No [Give someone a ride who knows the trail and he or she might tell you where all of the secret places are to find aid!]

WAIVER--READ BEFORE SIGNING!

"I know that participating in the THIRTEENTH ANDIAMO W&OD 45 MILE RUN 2008 ("Run") is hazardous and that it carries a risk of injury or death. I know that I should not participate in this activity if I am not medically able and properly trained. I understand that the course will be on and cross roads and highways and that there will be no special protection from traffic for me. I know that this is a "low-key" event which means that the organizers are providing little aid, no medical support, and no traffic control and that I am basically on my own. I understand and accept the risk that I may fall, trip, become lost, or otherwise become injured on this course. I realize that while some support will be provided, it may be insufficient for my needs. I know that there will be no medical support for this Run and that medical help could be very far from where I could become injured. I understand that I will have to pay for any medical attention I might need or be furnished. I understand that weather can be an unpredictable and dangerous factor. I am solely responsible for my safety on this Run and the organizers of this event have no responsibility for my safety.

"Knowing these facts, and in consideration of being accepted to participate in this Run, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and waive, release and discharge the organizers of this event, the Virginia Happy Trails Running Club, the Road Runners Club of America, all volunteers, all land owners and trail maintainers including the Northern Virginia Regional Park Authority and its participating jurisdictions and employees, and all sponsors, including their agents, employees, assigns or anyone acting for or on their behalf, from 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 participation in this event. This release and waiver extends to all claims of every kind or nature foreseen or unforeseen, known or unknown."

SIGNATURE:____________________________________________ DATE:________________

You must be at least 18 years old to participate in this event.

Mail with check for $10 ($15 after September 19) payable to the "VHTRC" to: Carolyn Gernand, 6424 Cygnet Dr., Alexandria, VA 22307-1311. E-mail:virtualslug@verizon.net

ENTRY MUST BE RECEIVED BY SEPTEMBER 30.