Mississippi 50 Trail Run

50 Mile, 50K and 20K Endurance Runs
Saturday March 5, 2011   Laurel, Mississippi

6:00 am start for 50K and 50M (12 hour time limit), 8:00 am for 20K ● $75 entry fee till February 1, then $85. No refunds.

THIS EVENT IS pending SANCTION BY USA TRACK & FIELD  
Sponsored By:
South Central Regional Medical Center

TOUCHSTONE ARCHITECTURE AND CONSULTING, P.A.
WAIVER AND RELEASE OF LIABILITY

In consideration of the acceptance of my entry, I, for myself, my executors, heirs, administrator, and assigns do hereby release and discharge any and all sponsors , volunteers and race officials from all claims, damages, demands, causes of action whatsoever in any manner arising out of my participating in the MS50 events.  I affirm that I am physically fit and sufficiently trained to participate in this event, and assume all the risks of such participation.  I understand that there are risks inherent in running long distances on undeveloped land which include but are not limited to, frequent falls, sprains, strains, breaks, dislocations, exposure to the elements, stream and creek crossings which may require swimming, lack of easy access to emergency medical care, and other potentially lethal conditions not in control of the organizers of this event, and that it is not uncommon for death to occur to a participant in an event this physically strenuous.  That understanding and appreciating all of these conditions I assume all the risks of such participation.  I further grant the use of my name and likeness to the event organizers for any use.  Organizers may cancel this event without refunds if, in their judgment, conditions warrant cancellation

Signature: ____________________________________________________________________________________

Name (Print): __________________________________________________________________________________

Address: ______________________________________________________________________________________

City: _______________________________________  State: ______  Zip: __________

Phone: _________________________ 

E-mail: _______________________________________________________

Age on race day: ________(must be at least 18)   Sex :   M    F    


 Shirt Size:  XS   S   M   L   XL   XXL

Event:  20K  50K  50M    First time at this distance?:  Y   N    

First MS50?      Y   N        Military?  Y   N

Number in your party at the Friday night dinner, including applicant: ________

Race entry fee $75 if postmarked by 2/01 then $85.