2018  ELLERBE   MARATHON  MAILABLE  ENTRY   FORM
              Mailed entries must be post marked no later than February 10

                          "Mail-in" entry has closed.  Register online only


PLEASE GO TO OUR WEBSITE AND READ THE COMPLETE INFORMATION AND        
UPDATES FOR THE ELLERBE MARATHON BEFORE SUBMITTING YOUR ENTRY
DOUG DAWKINS, Race Director   910-206 2095 call or text    E-Mail  doug@theboogieraces.com

SCHEDULE OF EVENTS
Friday, February 23
5:00-8:00 p.m.                            Packet pick-up at the Spring House
Saturday, February 24
6:30-7:30 a.m.                            Race day registration and packet pick-up at       
                                          Ellerbe Rescue Squad Building
7:45 a.m.                                    Pre-race briefing at the start line
8:00 a.m.                                    Start of marathon and half marathon
11:00 a.m.                                  Lunch begins at the Rescue Squad Building

                                     
       "Mail-in" entry has closed.  Register online only

This entry is for the  _____Marathon          ______Half Marathon

Entry fees are the same:        $50 entry postmarked before November 1, 2017
for both events:                      $60 entry postmarked November 1 thru December 31
                                      $65 January 1 and after. Paper registration closes February 10

Send completed entry and check to:  Ellerbe Marathon P.O. Box 96 Ellerbe, N.C.  28338
                            
Name (please print)_________
      "Mail-in" entry has closed.  Register online
only
______________________________________________________________

Email_____________________________________Phone__________________________________________

Address________________________________________City_________________State________Zip_________

Sex________Date of Birth____________Age Race Day________Do you live in Richmond County,
N.C.?_______

Shirt size (circle one)    S      M       L       XL       XXL

Ellerbe Marathons completed________Ellerbe Half Marathons completed________

Emergency
contact_____________________________________Phone________________________________

Waiver and release:   I understand and agree in consideration of being permitted to participate that
me (the participant), my heirs, personal representatives or assigns of me do hereby release, waive,
discharge and covenant not to sue the Race Director, Assistant Director, Wilson Timing, any of its
owners, officers, representatives, any and all event directors or coordinators, The Ellerbe Rescue
Squad or any of its members, any and all event volunteers or USA Track and Field from any and all
liability from any and all claims arising from participation in the Ellerbe Marathon or the Ellerbe Half
Marathon.  I realize that participating in a marathon is a sometimes risky and potentially hazardous
endeavor and assume all responsibilities for my participation.  I certify that I am properly trained and
medically able to participate in this event.  I realize that the race director has the right to refuse any
entry and that decisions rendered by the race director whether in participation or finish results will be
final. My signature below verifies that I have read all pertinent entry information and this waiver and
agree to abide by all rules and guidelines presented in the entry information and also to accept any
changes or decisions rendered by the race director before or during the event.

Signature_______
      "Mail-in" entry has closed.  Register online only
______________________________________________Date_______________________
            (Parent or guardian if under 18)