|
|
|
Heart of America Marathon
Labor Day, since 1960 Columbia, Missouri
online registration with Active.com
Entry form in pdf format
or fill out this
ENTRY FORM
(Print, complete and return to: Joe Duncan, 2605 Chapel Wood Terrace, Columbia, MO 65203 Please include check for $25 made out to the Columbia Track Club)
In consideration of your acceptance of this entry, I, intending to be
legally bound, hereby, for myself, my heirs and assignees, waive any and all claims for
damages that I might have against the City of Columbia or the Columbia Track Club for any
and all injuries suffered by me as a result of this event.
Print Name:_______________________________Birthdate:__________Age:______
Male________ Female________
Address:___________________________________State:______Zip:____________
Street
City
Signature:___________________________(If entrant is under 18, parent must sign)
How many marathons have you completed?_________
Best Marathon Time:_____________
Where?________________________________________When:________________
When & Where was your most recent?__________________________
Time:_____________
|