2018 Bethel Hill Moonlight Boogie 50 Miler
NO ENTRANTS UNDER THE AGE OF 18 ALLOWED
FOR MORE INFORMATION CONTACT:
Doug Dawkins  doug@theboogieraces.com  910-206-2095

    WAIVER AND RELEASE:
    I realize June in North Carolina is hot and humid. Most people and doctors advise against running in heat and humidity.  Also,
    running at night presents special problems such as seeing where you are stepping and watching out for cars.  I understand
    that this area has specific hazards such as rattlesnakes, copperheads, polecats, wildcats, and rednecks who like to drink and
    drive and throw things.  I know that 50 miles is a long, long ways and many people get tired just driving that far.  Nevertheless, I
    want, no, I insist I be allowed to do this event regardless of the risk.  Therefore, I want everyone to know that  I am not being forced
    to do this event and that 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, Wilson
    Timing, any of its owners, officers, representatives, any and all event directors or coordinators, Bethel Baptist Church 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 Bethel Hill Moonlight Boogie.  I assume all responsibilities for my participation in this event and certify that I am
    properly trained, mentally fit, and medically able to participate in this 50 mile run.   I agree to use a light after dark.  I certify that I am
    18 yrs old or older. I will not litter.  I will not kill snakes or harm any wildlife other than mosquitoes or biting flies.  I am aware that the
    number of entrants in this event is limited and that registration may close abruptly at the race director's discretion.  I realize that the
    race director's {or his delegate's} authority is all encompassing and will abide by any rules or changes he makes either before or  
    during my presence at this event.  Knowing everything in this waiver has not deterred me from entering this event and my signature
    below indicates that I have read this waiver and agree to comply with all of the conditions herein.   I also promise to have fun.


Signature___________________________________________________________Date________________

             Paper mail in registration has closed

Make check to " Bethel Hill Moonlight Boogie"   and mail to Doug Dawkins   P.O. Box 96   Ellerbe, N.C.  28338
                                                                                                                 
    Name {print}_____________________________________________________________

    Address_________________________________________________________________

    City______________________________________________________State___________Zip_____


age race day______        gender_________    Are you a Mangum Track Club Member?     yes____ no____


Shirt size (circle one)     XS     S     M     L     XL     XXL


Phone number__________________________ Email_____________________________________


    Required--Emergency contact: name and phone___________________________________________________


                          This is a green race.  Bring a water bottle.