Running the Distance, LLC Email

Running the Distance, LLC Email:[email protected] 9804 Bluff Dale Dr Dallas, TX 75218

Name ______Male / Female (circle)

Address ______Date of birth ______Age ______

City, State, Zip ______Shirt Size (S M L or XL) Register 30 in advance to guarantee shirt

Phone (day) ______Email address ______

Emergency Contact Name ______Phone: ______

Half Full

The Texas Threesome ™: Race Fee each day: $70, $80 after 03/01, $90 race week, $110 race day (cash or check only) 05/26/18 5am - The MS (Multiple Sclerosis) Marathon and Half ______MAKE CHECK PAYABLE TO NATIONAL MS SOCIETY for the MS marathon 05/27/18 5am - Wayne’s World Marathon and Half ______05/28/18 5am - Memorial Day Marathon and Half ______

The Texas Quad ™: Race Fee each day: $70, $80 after 09/01, $90 race week, $110 race day (cash or check only) 11/22/18 5am The Walk (Quad Day 1) ______11/23/18 7am - The Waddle (Quad Day 2) ______11/24/18 7am - The Tortoise (Quad Day 3) ______11/25/18 5am - Charlie’s Snake Wrangling Marathon and Half (Quad Day 4) ______

The Texas Double ™: Race Fee each day: $70, $80 after 09/15, $90 race week, $110 race day (cash or check only) 12/15/18 7am - Whine Not a Marathon and Half ______12/16/18 7am - Whine Not Another Marathon and Half ______

ADDITIONAL DONATION make check payable to NATIONAL MS SOCIETY ______Make Check Payable to Running the Distance, LLC Total Enclosed $______$ ______NO REFUNDS

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY In consideration of being allowed to participate in any way in Memorial Day for MS Marathon, Wayne’s World Marathon, The Bachman Memorial Day Marathon, The Walk, The Waddle, The Tortoise, The Wright Thing, The Whine not a Marathon and/or the Whine not another marathon related events and activities, the undersigned acknowledges, appreciates and agrees that: 1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, training and personal discipline may reduce this risk, the risk of serious injury does exist; and 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARRISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest race official immediately; and 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Running the Distance, LLC., The Memorial Day for MS, Jim's Goose Chase Marathon, or the Bachman Memorial Day Marathon their respective officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, (owners and lessors of premises used to conduct the event) (all hereinafter referred to as “Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARYILY WITHOUT ANY INDUCEMENT. I understand that there is a no refund policy for cancellations due to weather or in the event I am unable to attend.

Participant signature______Date ______

Participant Printed Name______