10 Mile Run: _______ or 6 Mile Run: ______ or 5K Walk: ________

Female_____ Male_____ Age on October 13, 2007_______

NAME:_________________________________________________________________

ADDRESS:_____________________________________________________________

CITY:__________________________ STATE:__________ ZIP CODE______________

PHONE:____________________ E-MAIL:____________________________________

Long sleeve T-shirt SIZE: S______ M______ L_____ XL_____ XXL_________
(T-shirt guaranteed to preregistrants.)

Are you participating in the 2007 Mountain State Trail Run Series?   YES    NO

Pre-registration - $20 (if postmarked by Sept 30, 2007)     _____________
Late registration - $25                                                                 _____________
Additional donation to Immune Deficiency Foundation (IDF)       _____________
Total amount enclosed                                                                _____________

Race day registration will be from 8:00 to 9:30 am.

WAIVER: For and in consideration of my participation in the VALLEY FALLS 10 & 6 MILE TRAIL RUNS in Fairmont, WV, I, the undersigned, release forever the sponsors, the program, its members, volunteers, co-sponsors, landowners, race organizers, race directors, other participants and all those associated with the VALLEY FALLS 10 & 6 MILE TRAIL RUNS from any claim for harm, injury or loss that occurs to me or my child/ward or anyone on his/her behalf as a result of participation in this event. I therefore attest and verify that I am physically fit and have sufficiently trained for this event and am aware of the potential dangers.

SIGNATURE:__________________________________________________
                                                           (PARENT/GUARDIAN IF UNDER 18)

Please make checks payable to: WVMTR (WEST VIRGINIA MOUNTAIN TRAIL RUNNERS)
Mail entry forms to:
Mark Flood
VALLEY FALLS TRAIL RUNS
1640 Tyrone Road
Morgantown, WV 26508