West Virginia Mountain Trail Runners

The 5th Annual David S. Hypes 5 Mile Trail Run & 5k Walk Entry

Female____ Male____ 5 Mile Run___ 5k Walk___ 

Age on 5/3/09_________

NAME:________________________

ADDRESS:_______________________

CITY:_______________________ STATE:_______

ZIP CODE__________

PHONE:_____________

E-MAIL:_________________________________

100% Cotton SS Tee SIZE:  S _____M______  L_____   XL_____ 
(T-shirt guaranteed to all who pre-register by April 25, 2008)

Entry Fee $15.00. All proceeds will go to the David S. Hypes Scholarship Fund

Make check payable to WVMTR
For and in consideration of participation in the Hope for Hypes 5 mile run/5K walk in Summersville, WV, I release the sponsors, the program, its members, volunteers, co-sponsors, landowners, the West Virginia Mountain Trail Runners and other participants from any claim for injury or loss that occurs to me or my child/ward or anyone on his/her behalf. 
I therefore attest and verify that I am physically fit and have sufficiently trained for this event.

Mail to: David S. Hypes Run/Walk, PO Box 393 Summersville, WV 26651
              

Signature__________________________________   Date_____________________
                         Parent signature required if under 18