NAME:______________________________________________________________________

ADDRESS:__________________________________________________________________

CITY:_______________________________ STATE:__________ ZIP CODE______________

PHONE:_________________________ E-MAIL:____________________________________

10K RUN  _____                     2 MILE WALK  _____              KIDS RUN  ______

FEMALE   ____                      MALE  _____                          AGE ON   09/14/08_______

100% Cotton SS Tee SIZE:  S _____M______  L_____   XL_____ 
Early registration is $15 if postmarked by August 30, 2008 and $18 thereafter. T shirt guaranteed, in size requested, to entries received by Aug 30 early registration date. There will be shirts available on a first come basis after that date.

There is no registration fee for the Kid's Fun Run, however a T shirt may be purchased for $10.00   

WAIVER: For and in consideration of my participation in the Helvetia 10K Mountain Run, the 2 Mile Walk or the Kid's Fun Run in Helvetia, WV, I, the undersigned, release forever the WV Mountain Trail Runners, Helvetia Fair Association, sponsors, the program, its members, volunteers, co-sponsors, landowners, race organizers, race directors, other participants and all those associated with the Helvetia 10K Mountain Run 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.

Please make checks payable to: WVMTR
All proceeds go to benefit the Helvetia Community Fair Association

Mail entry forms to:
Helvetia Mountain Run
P.O. Box 18
Helvetia, WV 26224