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Heart of America Marathon
Labor Day, since 1960 heart2.gif (4940 bytes) 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:_____________